龚心军,李昌剑,车艾青

• 1:重庆医科大学附属南川人民医院

摘要(Abstract)：

目的 观察丹参化瘀汤联合导管接触溶栓（CDT）治疗急性期下肢深静脉血栓形成（LDVT）的临床效果。方法 患者86例采用随机数字表法将其分为观察组与对照组各43例。对照组患者予以CDT治疗，观察组患者在对照组治疗基础上采用丹参化瘀汤口服。比较两组临床症状评分、白细胞计数（WBC）、D-二聚体（D-D）水平、患肢与健侧肢体周径差和综合疗效。结果 相较于对照组，观察组治疗后患肢疼痛、患肢肿胀、皮肤色泽、彩超得分明显更低，WBC、D-D水平明显更低（P <0.05）。观察组髌骨上15 cm周径差和胫骨粗隆下10 cm周径差明显高于对照组（P <0.05）。观察组临床总有效率为93.02%，明显高于对照组的76.74%(P <0.05)。结论 丹参化瘀汤联合CDT治疗急性期LDVT疗效良好，可改善患者的疼痛肿胀感和皮肤色泽，降低WBC、D-D水平。

关键词(KeyWords)： 下肢深静脉血栓形成;急性期;丹参化瘀汤;导管接触溶栓

Abstract:

Keywords:

基金项目(Foundation): 重庆市南川区科技计划项目（CX202032）

作者(Author): 龚心军,李昌剑,车艾青

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