中国中医科学院望京医院
纸质出版:2013
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[1]蒋科卫,温建民,吴夏勃,陈文龙,陈玲,申丽红,程桯,梁朝,孙卫东,孙永生,胡海威,陈思.益气活血法对人工关节置换患者凝血指标及血浆蛋白的影响[J].中医杂志,2013,54(05):409-411.
JIANG Kewei, WEN Jianmin, WU Xiabo, et al. Effect of Qi-Boosting Blood-Quickening Method on Coagulation Indicators and Plasma Protein in Artificial Joint Replacement Patients[J]. Journal of Traditional Chinese Medicine2013, 54(5): 409-411.
[1]蒋科卫,温建民,吴夏勃,陈文龙,陈玲,申丽红,程桯,梁朝,孙卫东,孙永生,胡海威,陈思.益气活血法对人工关节置换患者凝血指标及血浆蛋白的影响[J].中医杂志,2013,54(05):409-411. DOI: 10.13288/j.11-2166/r.2013.05.014.
JIANG Kewei, WEN Jianmin, WU Xiabo, et al. Effect of Qi-Boosting Blood-Quickening Method on Coagulation Indicators and Plasma Protein in Artificial Joint Replacement Patients[J]. Journal of Traditional Chinese Medicine2013, 54(5): 409-411. DOI: 10.13288/j.11-2166/r.2013.05.014.
目的观察益气活血法对人工关节置换患者凝血指标及血浆蛋白的影响
探讨其预防深静脉血栓的可能机理。方法将60例人工关节置换患者分为治疗组和对照组各30例
对照组术后常规使用低分子肝素钙注射液4100IU皮下注射
每日1次
共2周;治疗组在对照组基础上术前3天即开始口服益气活血中药
每日1剂至术后2周。两组患者分别在入院、术晨、术后抽取静脉血测定纤维蛋白原(FIB)、部分凝血酶原时间(APTT)、血浆蛋白S、蛋白C
观察深静脉血栓的发生率
同时记录术后引流量。结果治疗组术后FIB较入院时明显降低(P<0.05)
治疗组术晨和术后FIB较对照组同时间点明显降低(P<0.05或P<0.01);两组患者各时间点APTT比较差异均无统计学意义(P>0.05)。两组蛋白C术晨组间比较差异有统计学意义(P<0.05);两组蛋白S组间、组内比较差异均无统计学意义(P>0.05)。治疗组深静脉血栓发生率为3.3%
对照组为10.0%
两组比较差异无统计学意义(P>0.50)。两组术后平均引流量比较差异无统计学意义(P>0.05)。结论益气活血法可以有效预防深静脉血栓的形成
其作用机理可能与降低FIB、激活蛋白C有关。
Objective To observe the effect of qi-boosting blood-quickening method on the coagulation indicators and plasma protein in artificial joint replacement patients and its possible mechanism of preventing deep vein thrombosis.Methods Sixty artificial joint replacement patients were divided into treatment group and control group
with 30 in each. The control group was subcutaneously injected with 4100IU low molecular heparin calcium injection once daily for two weeks after operation. The treatment group was orally taken medicine based on qi-boosting blood-quickening method one dose daily from 3 days before operation to 2 weeks after operation in addition to treatment in the control group. The fibrinogen (FIB)
activated partial thromboplastin time (APTT)
plasma protein S and protein C were detected in both groups. The incidence of deep vein thrombosis and postoperative drainage volume was observed.Results The FIB was significantly decreased in the treatment group after operation (P<0.05). Comparing with the control group
the FIB in the treatment group was significantly decreased at the same time point both in the morning of operation and after operation (P<0.05 or P<0.01). There was no significant difference between groups in APTT at the same time point (P>0.05). There was a significant difference between groups in protein C in the morning of operation (P<0.05). There was no significant difference in protein S as compared within group or between groups (P>0.05). The incidence of deep vein thrombosis in the treatment group and control group was 3.3% and 10.0% respectively
with no significant difference between groups (P>0.05). There was no significant difference between groups in the average postoperative drainage volume (P>0.05).Conclusion Qi-boosting blood-quickening medicinal can effectively prevent deep vein thrombosis
which may be relevant to decreasing FIB and activating protein C.
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