|
Objective:To analyze the prevention and treatment of lower extremity deep venous thrombosis induction Hunan University of Chinese Medicine yifuyuan Department of orthopedics of nearly ten years of artificial hip joint replacement patients in general and postoperative (DVT) anticoagulant, to explore the therapeutic effect of traditional Chinese medicine for the prevention and treatment of promoting blood circulation and removing blood stasis method in artificial hip replacement after the formation of DVT.Methods:including three parts. One, for the last ten years in our hospital were retrospectively studied primary hip arthroplasty patients underwent operation, summed up the number, type, operation joint prosthesis, gender, age, etiology, analysis of the general rules; two, the case according to the mode of prevention and treatment of postoperative DVT (anticoagulation) classification, divided into separate Chinese medicine, western medicine and integrated traditional Chinese and Western medicine anticoagulation, specifically summarized each treatment and medication; three cases, observe the incidence of postoperative DVT, and in the second step is relatively simple, the use of Chinese medicine and Western medicine anticoagulation use anticoagulant group two showed the incidence of DVT had no difference.Results:1、the hospital in recent ten years (2003-2013years) were primary hip arthroplasty in422cases, and increasing year by year.2、the type of prosthesis selection, the use of artificial joint of bone cement than biological type joint. In3,、operation is the main cause of fresh femoral neck fracture, account for about60.9%, followed by necrosis of femoral head.4、the sex distribution, the male patients with226cases,196cases of female patients, about1.15:1.5、in the60-89age stages of hip arthroplasty patients account for the largest proportion, which is between70-79years old age the most.6、the postoperative anticoagulant therapy, most patients with the combination of Chinese and Western prevention law, about48.58%, traditional Chinese medicine and Western medicine in patients with simple respectively29.15%,22.27%. The use of7、 western medicine mainly with low molecular heparin, followed by direct factor Xa inhibitor (Lee of Shaaban), the use of traditional Chinese medicine in Chinese medicine injection liquid.8,、in422cases, postoperative confirmed by color Doppler ultrasound for DVT general exact incidence rate was1.42%, total suspicious occurrence rate is2.37%. Pure Chinese medicine and Western medicine treatment group, the exact incidence rates were1.63%,1.06%, suspicious were2.44%,2.13%, by X2test, the result is p>0.05, have no significant difference, indicating the simple but also for artificial hip joint formed in lower extremity DVT after operation to control the exact role of the Chinese medicine Huoxuehuayu method.
|