摘要
目的研究经腘静脉穿刺导管吸栓联合导管溶栓(CDT)治疗下肢深静脉血栓(DVT)的临床疗效。方法选取2016年1月至2020年12月于该院住院治疗的40例DVT患者,采用随机数字表法分为观察组(实施经腘静脉穿刺导管吸栓联合CDT治疗)与对照组(实施CDT治疗),每组20例。比较两组疗效、消肿率、溶栓率,以及溶栓前后的静脉畅通度评分、D-二聚体水平。结果与对照组相比,观察组治疗总有效率、消肿率、溶栓率更高,差异有统计学意义(P<0.05)。溶栓后,观察组静脉畅通度评分明显低于对照组,差异有统计学意义(P<0.05)。溶栓后,两组D-二聚体水平均较溶栓前降低,且观察组低于对照组,差异有统计学意义(P<0.05)。结论经腘静脉穿刺导管吸栓联合CDT治疗DVT的疗效显著,可有效缓解患者下肢水肿症状,提高溶栓率,改善患者凝血功能,具有一定的临床推广价值。
Objective To study the clinical efficacy of catheter aspiration through popliteal vein puncture combined with catheter thrombolysis(CDT)in the treatment of deep vein thrombosis(DVT)of the lower extremities.Methods Selected 40 DVT patients who were hospitalized in this hospital from January 2016 to December 2020,the random number table was used to divide the patients into the observation group(treated with catheter aspirating thrombus through popliteal vein puncture combined with CDT)and the control group(treated with CDT),with 20 cases in each group.Compared the efficacy,detumescence rate,thrombolysis rate,venous patency score and D-dimer level before and after thrombolysis between the two groups.Results Compared with control group,the total effective rate,detumescence rate and thrombolysis rate in observation group were higher,and the differences were statistically significant(P<0.05).After thrombolysis,the venous patency score in observation group was significantly lower than that in control group,and the difference was statistically significant(P<0.05).After thrombolysis,the level of D-dimer in the two groups was lower than that before thrombolysis,and the level of D-dimer in observation group was lower than that in control group,the differences were statistically significant(P<0.05).Conclusion Catheter aspirating thrombus through popliteal vein puncture combined with CDT is effective in the treatment of DVT,it could effectively alleviate the symptoms of lower limb edema,improve the thrombolysis rate and improve the coagulation function of patients.It has a certain clinical promotion value.
作者
聂鸿平
黄红义
周小涛
梅海英
曾慧
熊卿
NIE Hongping;HUANG Hongyi;ZHOU Xiaotao;MEI Haiying;ZENG Hui;XIONG Qing(Department of General Surgery,Fengcheng People′s Hospital,Yichun,Jiangxi 331100,China)
出处
《检验医学与临床》
CAS
2021年第19期2838-2840,共3页
Laboratory Medicine and Clinic
基金
江西省卫生健康委员会科技计划项目(202140840)。
关键词
经腘静脉穿刺导管吸栓
导管溶栓
下肢深静脉血栓
catheter aspirating thrombus through popliteal vein puncture
catheter thrombolysis
deep vein thrombosis of lower extremities
