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桃红四物汤对脑出血患者下肢深静脉血栓形成的预防作用 被引量:13

Preventive effect of Taohong Siwu decoction on the formation of lower extremity deep vein thrombosis in patients with cerebral hemorrhage
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摘要 目的 观察桃红四物汤对脑出血患者下肢深静脉血栓(DVT)形成的预防作用.方法 选择2014年11月至2016年1月湖州市第一人民医院就诊的80例脑出血患者作为研究对象,按照不同治疗方法将其分为观察组和对照组,每组40例.两组均给予常规治疗和护理,观察组在常规治疗基础上加用桃红四物汤治疗(组成:酒当归10 g,熟地黄10 g,炒白芍10 g,川芎6 g,燀桃仁6 g,红花4 g),每日1次,连续服用2周.结果 观察组2周D-二聚体水平显著低于对照组(mg/L:1.47±0.91比1.88±0.79,t=1.991,P=0.035);观察组DVT发生率显著低于对照组〔5.0%(2/40)比20.0%(8/40),χ2=4.114,P=0.043〕.结论 桃红四物汤可有效降低脑出血患者DVT的发生率. Objective To observe the preventive effect of Taohong Siwu decoction on the formation of lower extremity deep vein thrombosis (DVT) in patients with cerebral hemorrhage.Methods Eighty patients with cerebral hemorrhage admitted to the Department of Neurosurgery in Huzhou First People's Hospital from November 2014 to January 2016 were enrolled, and they were divided into an observation group and a control group according to the difference in treatment methods, each group 40 cases. Both groups were given routine treatment and nursing care, the patients of observation group were additionally given Taohong Siwu decoction (composition:Radix Angelicae Sinensis (stir-fried with wine) 10 g,Radix Rehmanniae Preparata 10 g,Radix Paeoniae Alba10 g,Ligusticum Chuanxiong Hort 6 g,Semen Persicae 6 g,Carthami Flos 4 g), once a day for consecutive 2 weeks.Results The D-dimer level in the observation group was significantly lower than that in the control group (mg/L: 1.47±0.91 vs. 1.88±0.79,t = 1.991,P = 0.035); the incidence of DVT in the observation group was obviously lower than that in the control group [5.0% (2/40) vs. 20.0% (8/40), χ2 = 4.114,P = 0.043].Conclusion Taohong Siwu decoction can effectively reduce the incidence of DVT in patients with cerebral hemorrhage.
出处 《中国中西医结合急救杂志》 CAS CSCD 北大核心 2017年第3期243-245,共3页 Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
关键词 桃红四物汤 脑出血 下肢深静脉血栓形成 Taohong Siwu decoction Cerebral hemorrhage Lower extremity deep vein thrombosis
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