中药外敷对ICU 重症患者深静脉血栓的预防效果

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Abstract Objective To explore the preventive effect of traditional Chinese medicine external application on deep vein thrombosis in ICU severe patients.Methods A total of 128 severe patients admitted to the ICU of Shenzhen Pingle Orthopedics and Injury Hospital from January 2020 to January 2021 were selected as the study subjects, and divided into the control groups (64 cases) and the observation groups (64 cases) according to the random number table method.The control group received anticoagulation treatment, and the observation group applied traditional Chinese medicine on the basis of the control group, the two groups continued medication for 10 days.The blood coagulation function, the blood rheology index and the incidence of the deep vein thrombosis were compared between the two groups.Results Before treatment, the comparison of coagulation function (prothrombin time [PT], activated partial thromboplastin time [APTT],thrombin time [TT], D-dimer [D-D]) were compared between the two groups, with no statistical significant differences(P>0.05).After treatment, PT, APTT, and TT in the two groups were longer than those before treatment in this group,and the D-D levels was lower than that before treatment in this group, and the differences were statistical significant(P<0.05).After treatment, the PT, APTT and TT in the observation group were longer than those in the control group at the same period, and the D-D levels in the observation group was lower than that in the control group at the same period, and the differences were statistical significant (P<0.05).Before treatment, the blood rheological indexes (high blood viscosity [HBV], low blood viscosity [LBV], and plasma viscosity [PV]) were compared between the two groups, with no statistical significant differences (P>0.05).After treatment, the levels of HBV, LBV, and PV in the two groups were lower than those before treatment in this group, and the differences were statistical significant (P<0.05).After treatment,the levels of HBV, LBV, and PV in the observation group were lower than those in the control group at the same period, and the differences were statistical significant (P<0.05).The incidence of deep vein thrombosis in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05).Conclusion External application of traditional Chinese medicine can improve coagulation function, reduce blood viscosity and reduce severe ICU thrombosis, which is worth extensive application.

Key words： ICU severe Traditional Chinese medicine external application Deep vein thrombosis Coagulation function Blood rheological indexes

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	Articles by authors
	WANG Zhigang
	DU Lijuan
	SONG Lu
	TANG Hejun
	CHEN Xingxian

Cite this article:

WANG Zhigang,DU Lijuan,SONG Lu, et al. Preventive effect of traditional Chinese medicine external application on deep vein thrombosis in ICU severe patients[J]. 中国当代医药, 2021, 28(36): 154-157.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I36/154

[1]	周佳，李莉，甄军海，等.浙江省41 家三甲医院ICU 静脉血栓栓塞症的防治现状[J].中华内科杂志，2021，60（2）：139-142.
[2]	潘龙飞，丁新爱，张瑞，等.Caprini 血栓评估量表对急诊重症监护室患者静脉血栓栓塞症预防价值[J].临床军医杂志，2018，46（9）：1036-1038，1042.
[3]	王蕾.阿加曲班联合下肢气压治疗在预防重症肺部感染患者深静脉血栓中的应用[J].医学临床研究，2019，36（5）：1021-1023.
[4]	张斌，姚影珍，张立兴，等.生骨胶囊联合低分子肝素治疗脊柱术后下肢深静脉血栓48 例疗效观察[J].安徽医药，2019，23（5）：998-1001.
[5]	王凯，相元翠，栗浩然.低分子肝素钙防治剖宫产术后下肢深静脉血栓对患者凝血功能指标的影响[J].检验医学与临床，2018，15（11）：1569-1572.
[6]	焦甲勋，朱小丽，索娜，等.苦碟子联合低分子肝素预防老年下肢骨折患者术后下肢深静脉血栓的疗效探讨[J].天津医药，2020，48（9）：881-885.
[7]	陈红，王维，李配富，等.红藤联合脉通散外敷对肺癌伴下肢深静脉血栓患者血液流变学及血栓弹力图的影响[J].中国医药导报，2020，17（5）：156-159.
[8]	刘嘉丽，郭应军，孟繁甦，等.丹参多酚酸盐联合低分子肝素钙治疗ICU 气滞血瘀型下肢深静脉血栓患者的临床疗效观察[J].广州中医药大学学报，2019，36（2）：192-196.
[9]	王自军，朱丽丽，孟盈，等.ICU 深静脉血栓形成高危患者DVT 发生的危险因素分析[J].临床急诊杂志，2020，21（5）：397-401.
[10]	黄莹，王春梅，张毅，等.胸外科术后重症患者下肢深静脉血栓形成及其凝血状态分析[J].中国肺癌杂志，2018，21（11）：864-867.
[11]	袁媛，张冉，李桂云.颅脑肿瘤患者术后下肢深静脉血栓的危险因素分析[J].北京医学，2020，42（3）：210-213.
[12]	张红玲，许佑冬，刘正东.急性脑出血患者ICU 期间下肢深静脉血栓发生的危险因素分析[J].中华神经医学杂志，2020，19（5）：488-492.
[13]	秦征东，葛欣.应用低分子肝素钙预防高血压性脑出血术后深静脉血栓形成的疗效和安全性[J].中国医药，2018，13（4）：541-544.
[14]	董万青，张玉茹，李晓光，等.那曲低分子肝素钙预防腹腔镜下直肠癌根治术术后下肢深静脉血栓形成的临床观察[J].中国临床医生杂志，2018，46（1）：62-64.
[15]	范靖琪，赵东旭.活血化瘀中药封包预防剖宫产术后下肢静脉血栓的研究[J].广州中医药大学学报，2019，36（9）：1363-1367.
[16]	李小永，谭红略，袁彦浩，等.“冰硝化瘀散” 外敷联合抗凝溶栓治疗下肢骨折后深静脉血栓30 例临床研究[J].江苏中医药，2019，51（9）：41-43.