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目的观察穴位按摩联合低分子肝素注射治疗妇科术后下肢深静脉血栓的效果。方法收集2011年3月至2014年5月于江苏省如皋市中医院妇科术后下肢深静脉血栓患者68例的临床资料,取34例给予低分子肝素5 000 U皮下注射治疗的患者为对照组;另34例在此基础上联合穴位按摩治疗的患者为观察组。比较两组患者的血管再通率、治疗后主要症状的缓解情况,治疗前后患者凝血指标的变化。结果观察组血管再通率91.2%(31/34),显著高于对照组67.6%(21/34)(P<0.05)。两组患者治疗后下肢疼痛、酸胀、肿胀、压痛等主要症状明显缓解,观察组证候评分低于对照组(P<0.05);两组患者治疗后凝血酶原时间、活化部分凝血酶时间、凝血酶时间均明显降低,观察组较对照组降低更显著(P<0.05)。结论穴位按摩联合低分子肝素注射治疗妇科术后下肢深静脉血栓的效果良好。
Objective To observe the effect of acupoint massage and low molecular weight heparin injection on deep venous thrombosis of lower extremity after gynecological operation. Methods The clinical data of 68 patients with post-gynecological deep venous thrombosis after gynecological operation in Rugao Hospital of Traditional Chinese Medicine from March 2011 to May 2014 were collected. 34 patients undergoing subcutaneous injection of 5 000 U of low molecular weight heparin were selected as the control group ; The other 34 patients on the basis of joint acupoint massage treatment for the observation group. The recanalization rate of the two groups was compared, the main symptoms after treatment were relieved, and the changes of coagulation index in patients before and after treatment were compared. Results The rate of vascular recanalization in observation group was 91.2% (31/34), significantly higher than 67.6% (21/34) in control group (P <0.05). After treatment, the main symptoms of lower extremity pain, soreness, swelling and tenderness were relieved in both groups, and the syndrome scores in the observation group were lower than those in the control group (P <0.05). After treatment, the prothrombin time, activated partial thromboplastin time , Thrombin time were significantly lower, the observation group decreased more significantly than the control group (P <0.05). Conclusion Acupoint massage combined with low molecular weight heparin injection has good effect on deep venous thrombosis of lower extremity after gynecological operation.