针刺联合低分子肝素钙预防髋关节置换术后下肢深静脉血栓形成临床研究
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R246.2

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深南科[2022]南山区卫生科技计划(NS2022111)


Clinical Study on Acupuncture Combined with Low Molecular Weight Heparin Calcium for Preventing Formation of Lower Extremity Deep Venous Thrombosis After Hip Arthroplasty
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    摘要:

    目的:观察针刺联合低分子肝素钙预防髋关节置换术后下肢深静脉血栓(LEDVT) 形成的效果。 方法:选取60例行髋关节置换术的患者,按随机数字表法分为试验组和对照组各30例。对照组术后予低分子 肝素钙治疗,试验组术后在对照组基础上联合针刺治疗。2组均连续治疗2周。比较2组LEDVT发生率、凝血 指标[活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、纤维蛋白原(FIB) 和D-二聚体(D-D)]及 Harris髋关节功能评分。结果:治疗2周后,LEDVT发生率试验组3.33%,低于对照组20.00%(P<0.05)。治 疗2周后,2组APTT、PT均较术前8 h延长,FIB、D-D水平均较术前8 h降低,差异均有统计学意义(P< 0.05);试验组APTT、PT均长于对照组,FIB、D-D水平均低于对照组,差异均有统计学意义(P<0.05)。治 疗2周后、治疗后3个月,2组Harris髋关节功能评分均较术前1 d升高,试验组Harris髋关节功能评分均高于 同期对照组,差异均有统计学意义(P<0.05)。结论:针刺联合低分子肝素钙可有效改善髋关节置换术后患者 的凝血指标,预防LEDVT形成,促进髋关节功能恢复,效果优于单独使用低分子肝素钙治疗。

    Abstract:

    Abstract: Objective: To observe the effect of acupuncture combined with Low Molecular Weight Heparin Calcium on preventing the formation of lower extremity deep venous thrombosis (LEDVT) after hip arthroplasty. Methods: A total of 60 cases of patients who would undergo hip arthroplasty were selected and divided into the trial group and the control group according to the random number table method,with 30 cases in each group. The control group was treated with Low Molecular Weight Heparin Calcium,and the trial group was additionally treated with acupuncture based on the treatment of the control group. Both groups were treated for two weeks continuously. The incidence of LEDVT,coagulation indexes [activated partial thromboplastin time (APTT),prothrombin time (PT),fibrinogen (FIB) and D-dimer (D-D)] and Harris hip joint function scores were compared between the two groups. Results:After two weeks of treatment, the incidence of LEDVT in the trial group was 3.33%,which was lower than that of 20.00% in the control group,the difference being significant (P<0.05). After two weeks of treatment,APTT and PT in the two groups were prolonged when compared with those in eight hours before surgery, and levels of FIB and D-D were decreased when compared with those in eight hours before surgery, differences being significant (P<0.05);APTT and PT in the trial group were longer than those in the control group,and the levels of FIB and D-D were lower than those in the control group,there being significant differences (P< 0.05). After two weeks of treatment and in three months after treatment, the Harris hip joint function scores in the two groups were elevated when compared with those on the day before surgery, and the score in the trial group was higher than that in the control group at the same time, with significant differences (P<0.05). Conclusion:Acupuncture combined with Low Molecular Weight Heparin Calcium can effectively improve the coagulation indexes of patients after hip arthroplasty, prevent LEDVT formation, and promote the recovery of hip joint function, and its effect is better than that of simple therapy of low molecular weight heparin calcium.

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朱文姣,陈燕,兰凯.针刺联合低分子肝素钙预防髋关节置换术后下肢深静脉血栓形成临床研究[J].新中医,2024,56(20):101-105

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  • 在线发布日期: 2024-10-29
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