如意金黄散外敷联合康复训练治疗脑卒中后下肢肌间静脉血栓临床观察OA
Ruyi Jinhuang Powder External Application Combined with Rehabilitation Training in the Treatment of Lower Extremity Intermuscular Venous Thrombosis after Stroke
目的 观察如意金黄散外敷联合康复训练治疗脑卒中后下肢肌间静脉血栓的临床疗效.方法 选取2023年12月—2024年12月岳阳市中医医院收治的60例脑卒中后下肢肌间静脉血栓患者,采用随机数字表法将其分为2组,对照组给予常规训练,试验组在对照组基础上予以如意金黄散外敷,2组均治疗4周.比较2组患者血栓长轴直径、D-二聚体及同型半胱氨酸、超敏C反应蛋白水平及总有效率.结果 治疗后,试验组血栓长轴直径、D-二聚体、同型半胱氨酸、超敏C反应蛋白水平较对照组降低(P<0.05).试验组血栓消失率高于对照组(P<0.05).结论 如意金黄散外敷联合康复训练治疗脑卒中后下肢肌间静脉血栓疗效较好,可以提高患者生活质量,降低栓塞风险.
Objective To observe the clinical efficacy of Ruyi Jinhuang powder external application combined with rehabilitation training in the treatment of lower extremity intermuscular venous thrombosis after stroke.Methods A total of 60 patients with lower extremity intermuscular venous thrombosis after stroke admitted to Yueyang Hospital of Traditional Chinese Medicine from December 2023 to December 2024 were selected and randomly divided into two groups.The control group received routine training,and the experimental group was treated with Ruyi Jinhuang powder external application on the basis of the control group.Both groups were treated for 4 weeks.The long-axis diameter of thrombus,D-dimer,homocysteine,high-sensitivity C-reactive protein levels and total effective rate were compared between the two groups.Results Four weeks after treatment,the levels of thrombus long-axis diameter,D-dimer,homocysteine and high-sensitivity C-reactive protein in the experimental group were lower than those in the control group(P<0.05).The thrombus resolution rate of the experimental group was higher than that of the control group(P<0.05).Conclusion Ruyi Jinhuang powder external application combined with rehabilitation training is effective in the treatment of lower extremity intermuscular venous thrombosis after stroke,which can improve the quality of life of patients and reduce the risk of embolism.
陈慧;刘晓瑜;艾潇;舒畅;康蓉;胡丹
湖南中医药大学,湖南 长沙 410000岳阳市中医医院康复科,湖南 岳阳 414000岳阳市中医医院康复科,湖南 岳阳 414000岳阳市中医医院康复科,湖南 岳阳 414000湖南中医药大学,湖南 长沙 410000岳阳市中医医院康复科,湖南 岳阳 414000
医药卫生
股肿脑卒中肌间静脉血栓如意金黄散
femoral swellingstrokeintermuscular venous thrombosisRuyi Jinhuang powder
《光明中医》 2026 (2)
62-66,5
湖南省中医药管理局局市(州)联合中医药科研项目(No.D2024029)
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