Clinical Study on Yiqi Huoxue Tongluo Tang Combined with Rehabilitation Training in Preventing and Treating Deep Venous Thrombosis of Lower Extremity After Hip Replacement
Abstract: Objective: To observe the clinical effect of the therapy of Yiqi Huoxue Tongluo tang combined with rehabilitation training on the prevention and treatment of deep vein thrombosis(DVT) of lower extremity after hip replacement. Methods:A total of 78 patients who underwent hip replacement in our hospital were selected and randomly divided into the treatment group(40 cases) and the control group(38 cases). After surgery,the control group was given routine rehabilitation training and intervention,and the treatment group was treated with Yiqi Huoxue Tongluo tang combined with rehabilitation training. After continuous observation for two weeks,changes in indexes concerning platelet and coagulation were detected in the two groups;hip joint function was evaluated and clinical effect was determined based on whether DVT was formed or not. Results:The total effective rate was 87.50% in the treatment group,higher than that of 63.16% in the control group, the difference being significant(P<0.05). After treatment,the levels of blood platelet count(BPC) and Fibrinogen(FIB) in both groups were decreased when compared with those before treatment,while the levels of prothrombin time(PT) and activated partial thromboplastin time(APTT) were increased; the improvement of the above levels in the treatment group was significantly better than that in the control group(P<0.05). After treatment, the Harris scores in the two groups were increased when compared with those before treatment, and the increase of Harris score in the treatment group was significantly larger than that in the control group(P<0.05). Conclusion: After hip replacement, the therapy of Yiqi Huoxue Tongluo tang combined with rehabilitation training can reduce the formation of DVT, which can improve the abnormal coagulation system and hip joint function of patients.