ZHOU Jian-peng, XIA Hong. Bushen Yiqi Huoxue Fang in Combination with Massage on Prophylaxis of Deep Venous Thrombosis Following Postoperative Period of Aged Hip Arthroplasty[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(6): 195-198.
DOI:
ZHOU Jian-peng, XIA Hong. Bushen Yiqi Huoxue Fang in Combination with Massage on Prophylaxis of Deep Venous Thrombosis Following Postoperative Period of Aged Hip Arthroplasty[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(6): 195-198. DOI: 10.13422/j.cnki.syfjx.2015060195.
Bushen Yiqi Huoxue Fang in Combination with Massage on Prophylaxis of Deep Venous Thrombosis Following Postoperative Period of Aged Hip Arthroplasty
中医组术后DVT发生率明显低于对照组( P < 0.01)。结论: 补肾益气活血方与腓股肌康复预防老年髋关节置换术后DVT 发生的效果好
安全性高。
Abstract
Objective: The aim of this paper was to observe the effectiveness of Bushen Yiqi Huoxue Fang in combination with massage on prophylaxis of deep venous thrombosis(DVT) following postoperative period of aged hip arthroplasty. Method: Ninety patients receiving surgery by the same group of doctors were randomly divided into traditional Chinese medicine (TCM) group
low-molecular-weight heparin(LMWH)group and control group
postoperative patients in TCM group were treated with Bushen Yiqi Huoxue Fang in combination with massage. In the LMWH group
30 patients were given LMWH after surgery;patiens in the control group took aspirin enteric-coated tablets. The limb circumference
routine blood test
blood coagulation function changes
hemodynamics of vessels by vascular ultrasound and the thrombosis were examined before surgery and one day
10 days after surgery
respectively. Result: In limb circumference variation
there was significant difference the three groups (P < 0.01). There was no significant difference of platelets
D-dimer (D-D)
prothrombin time(PT)
activeated partial thromboplastin time(aPTT) in all the three groups in the assay of one day after surgery
while significant difference (P < 0.01) appeared between the TCM group and the control group in the assay of 10 days after surgery. There was significant difference of the occurrence of DVT after surgery between the TCM group and the control group (P < 0.01).In TCM group
one DVT case (3.33%) was discovered. In LMWH group
one DVT case (3.33%) was discovered as well. While in the control group
6 DVT cases (20.0%) were found. Conclusion: On the basis of this study
it is more effective and safer to use Bushen Yiqi Huoxue Fang in combination with massage on prophylaxis of DVT following postoperative period of aged hip arthroplasty.