标题 | 介入治疗下肢血栓闭塞性脉管炎的临床疗效分析 |
范文 | 赵先峰 [摘要] 目的 為了提高下肢血栓闭塞性脉管炎的治疗效果,分析采用介入治疗的价值和意义。方法 在该院2017年3月—2018年3月期间治疗的下肢血栓闭塞性脉管炎患者中随机选取60例作为研究对象,并将其通过抽签的方式分为两组,其中单纯接受中西医结合方案治疗的30例患者列为对照组,接受介入方案治疗的30例患者列为观察组,比较不同治疗方案在疗效方面差异。 结果 研究数据表明,观察组和对照组患者治疗的总有效率分别为100.00%(30/30)、73.33%(22/30),和对照组相比观察组患者治疗的总有效率明显增加(χ2=7.070,P<0.05);治疗后两组患者踝肱指数、经皮氧分压、血流量、血流速度较治疗前均有所改善但以观察组各指标改善更显著且组间比较差异有统计学意义(P<0.05);观察组和对照组患者并发症发生率分别为3.33%(1/30)和6.67%(2/30),两组并发症发生率比较差异无统计学意义(P>0.05)。 结论 下肢血栓闭塞性脉管炎患者采用介入治疗,不仅能够提高治疗效果,还能改善患者临床症状,效果显著,值得临床应用。 [关键词] 下肢血栓闭塞性脉管炎;介入治疗;临床疗效 [中图分类号] R543 ? ? ? ? ?[文献标识码] A ? ? ? ? ?[文章编号] 1674-0742(2019)10(a)-0073-03 [Abstract] Objective To improve the therapeutic effect of lower extremity thromboangiitis obliterans, and to analyze the value and significance of interventional therapy. Methods Sixty patients with lower extremity thromboangiitis obliterans who were treated between March 2017 and March 2018 were randomly selected as the study subjects and divided into two groups by lottery. Thirty patients treated with the regimen were included in the control group, and 30 patients who underwent interventional therapy were included in the observation group, and the differences in efficacy were compared between different treatment regimens. Results The data of the study showed that the total effective rate of treatment in the observation group and the control group was 100.00%(30/30) and 73.33%(22/30), respectively. Compared with the control group, the total effective rate of the treatment group was significantly increased (χ2=7.070, P<0.05); after treatment, the sputum index, transcutaneous oxygen partial pressure, blood flow, and blood flow velocity were improved compared with those before treatment, but the improvement of each index in the observation group was more significant and the difference between groups was statistically significant (P<0.05); the incidence of complications in the observation group and the control group were 3.33%(1/30) and 6.67%(2/30), respectively. There was no statistically significant difference in the incidence of complications between the two groups (P>0.05). Conclusion Interventional therapy for patients with lower extremity thromboangiitis obliterans can not only improve the treatment effect, but also improve the clinical symptoms of patients, and the effect is remarkable, which is worthy of clinical application. [Key words] Lower extremity thromboangiitis obliterans; Interventional therapy; Clinical efficacy 综上所述,下肢血栓闭塞性脉管炎患者采用介入治疗,不仅能够提高治疗效果,还能改善患者临床症状,效果显著,值得临床应用。 [参考文献] [1] ?张学艳,孟利华,李小爱,等.四妙勇安方治疗血栓闭塞性脉管炎疗效观察和护理体会[J].血栓与止血学,2017,23(3):515-518. [2] ?李奋强,何学文,李立,等. 中医药对血栓闭塞性脉管炎膝下血管闭塞介入治疗的影响[J].中医研究,2017,30(7):19-23. [3] ?朱大卫.实施介入治疗对下肢血栓闭塞性脉管炎患者临床相关指标的影响[J].临床医学研究与实践,2018,3(12):57-58. [4] ?唐加热克,杨建平,管圣,等.射频消融在血栓闭塞性脉管炎中的应用[J].血管与腔内血管外科杂志,2017,3(6):1092-1093,1096. [5] ?李笃强,皮兴涛,郭鹏,等.下肢血栓闭塞性脉管炎的临床治疗体会[J].血管与腔内血管外科杂志,2017,3(6):1052-1054,1060. [6] ?徐揚波.彩超检查对血栓闭塞性脉管炎患者动脉病变诊断价值的研究[J].现代医用影像学,2016,25(5):985-986.. [7] ?黄群,冷玉杰.四妙勇安汤治疗血管闭塞性脉管炎的临床中药学研究[J].中医药信息 ,2016,33(5):73-76.. [8] ?李雅倩,陈周,陈全,等.血栓闭塞性脉管炎发病机制研究新进展[J].广东医学,2017,38(20):3213-3218. [9] ?白俊龙,王江宁.血栓闭塞性脉管炎的治疗进展[J].实用医学杂志,2015,31(10):1563-1565. [10] ?李春亭,罗保平,尹红,等.中西医结合治疗 2 期以上血栓闭塞性脉管炎 54 例疗效评价[J].世界中医药,2017,12(1):61-63. [11] ?刘永建 , 陈华.四妙勇安汤治疗血管闭塞性脉管炎的疗效观察[J].临床合理用药杂志 ,2018,11(19):99-100. [12] ?彭连双,赵翠格,孙建辉,等.四妙勇安汤加减治疗血栓闭塞性脉管炎 61例临床观察[J].中医临床研究,2015(11):111-112. (收稿日期:2019-07-05) |
随便看 |
|
科学优质学术资源、百科知识分享平台,免费提供知识科普、生活经验分享、中外学术论文、各类范文、学术文献、教学资料、学术期刊、会议、报纸、杂志、工具书等各类资源检索、在线阅读和软件app下载服务。