中西医电磁三联治疗及西医治疗血栓疗效对比观察.docVIP

中西医电磁三联治疗及西医治疗血栓疗效对比观察 　 作者：黄永禄，马永红，牛全新 【摘要】 目的 观察比较中西药溶栓配合电磁治疗与西药抗凝溶栓治疗周围动静脉血栓疗效。方法 筛选周围动静脉病例，随机分为中西药结合电磁治疗组和西药对照组;中西药结合电磁治疗组应用中西药溶栓和外用电磁治疗，西药对照组应用肝素、华法林、尿激酶抗凝溶栓治疗。结果 中西药结合电磁治疗组血栓溶解率80.9%，有效率为100%，并发症发生率14.3%;西药对照组血栓溶解率33.3%，有效率60%，并发症发生率60%。经χ2检验两组比较差异有显著统计学意义(Plt;0.01)。结论 中西药结合电磁治疗组、西药对照组均有溶栓效果，但中西药结合电磁治疗组疗效显著高于西药对照组。中药溶栓结合电磁治疗是一种安全有效，疗程短，费用低，具有重要的应用价值。 【关键词】 中药溶栓;电磁疗法;肝素;华法林;尿激酶;溶栓疗效 　　[Abstract] Objective To observe the comparison with the electromagnetic Western thrombolytic therapy and western medicine(heparin，warfarin，urokinase，etc.)in anticoagulant thrombolytic efficacy of the treatment of peripheral artery and vein thrombosis.Methods Filter around the artery and vein were randomly divided into western medicine treatment group and western medicine combined electromagnetic control group;traditional Chinese medicine with western medicine in the electromagnetic treatment group，and external electromagnetic thrombolytic therapy，medicine control group of heparin，warfarin，urokinase anticoagulant thrombolytic therapy.Results Western medicine was with the rate of electromagnetic thrombolytic therapy group 80.9%，efficiency was 100%，complication rate was 14.3%;medicine thrombolytic rate of the control group was 33.3%，efficiency was 60%，complication rate was 60%.Comparing the two groups by chi-square test was significant different(Plt;0.01).Conclusion Of electromagnetic treatment group with western medicine，western medicine group had thrombolytic effect，but western medicine combined effect of electromagnetic treatment group was significantly higher than western medicine control group.Traditional Chinese medicine combined thrombolytic therapy is a safe and effective，electromagnetic course is short，with low cost，has important application value. 　　[Key words] Chinese medicine for thromolytic therapy;electromagnetic therapy;heparin;warfarin;urokinase;thrombolysis effect 　　目前医学界都在积极研究高效安全的溶栓药物。但是西药抗凝溶栓对周围动静脉血栓的治疗效果不甚理想;临床应用的溶栓药物存在一定的副作用(血小板减少、凝血时间延长、内脏器官出血)，因而需要随时进行血液凝血试验检