八珍汤加减在静脉曲张经皮静脉内激光成形术后并发病防治中的应用(1)
【摘要】目的：观察下肢静脉曲张行经皮静脉内激光成形术后应用八珍汤防治并发症的效果。方法：将术后经辨证为气虚血瘀型的45例53条下肢静脉曲张患肢按照随机数字表法分为对照组和观察组。两组均行经皮静脉内激光成形术，对照组术后给予红花黄色素治疗，观察组在对照组的基础上加用八珍汤，对比观察其应用效果。结果：观察组术后并发症皮下瘀斑、患肢疼痛、患肢肿胀及条索状硬结的改善时间明显比对照组要短，差异具有统计学意义(P<0.05)。结论： 八珍汤内服在下改善肢静脉曲张行经皮静脉内激光成形术后并发症方面具有显著疗效。
【关键词】下肢静脉曲张；大隐静脉高位结扎；经皮静脉内激光成形术；八珍汤
【中图分类号】R654.4【文献标志码】 A【文章编号】1007-8517(2017)01-0087-03
Clinical Study on the Treatment of Varicose Veins by Percutaneous Intravenous Laser Angioplasty Combining with Bazhen Decoction
ZHU Yuangui1FENG Zhi2*
1.Clinical Medicine of Jiangxi University of Traditional Chinese Medicine， Nanchang 330000，China；
2.Nanchang Hospital of Traditional Chinese and Western Medicine， Nanchang 330000，China
Abstract：Objectives To explore new treatment methods of postoperative recovery of varicose vein of lower limbs after being treated with percutaneous intravenous laser angioplasty.Methods 53 affected lower limbs with varicose vein of 45 cases were diagnosed with qi deficiency and blood stasis by the treatment according to the syndrome differentiation after operation were randomly divided into the control group and the observation group according to random number table method. Patients from the control group were treated with percutaneous intravenous laser angioplasty and carthamin yellow treatment while patients from the observation group were given oral administration of Bazhen decoction on the basis of the control group.Results The recovery time of postoperative complications including ecchymosis， limb pain， limb swelling and funicular induration of the observation group was evidently shorter than that of the control group and the difference had statistical significance (P<0.05).Conclusion Percutaneous intravenous laser angioplasty combining with Bazhen decoction has a significant curative effect on treating postoperative complications of varicose vein of lower limbs after being treated with percutaneous intravenous laser angioplasty.
Keywords：Varicose Vein of Lower Limbs；High Ligation of Great Saphenous Vein；Percutaneous Intravenous Laser Angioplasty；Bazhen Decoction
在我國下肢静脉疾病的患者近1亿，其病率为8.89%[1]，下肢静脉曲张是下肢静脉常见疾病之一，易引发多种并发症[2]。下肢静脉曲张是因静脉返流异常所导致的病症。首先患者会有下肢疲劳胀痛等症状，但没有明显的体征；继而会有毛细静脉血管扩张，下肢静脉的曲张；下肢皮肤缺乏营养导致：色素沉着、湿疹等；最后是下肢溃疡，迁延难愈[3]。目前手术是治疗下肢静脉曲张的首选方法，但是单纯用西医手术疗法，创伤较大，费用昂贵，且部分患者术后常有皮下瘀斑、卵圆窝血肿、患肢麻木、患肢疼痛、患肢肿胀及条索状硬结等并发症。笔者采用中药八珍汤加减治疗下肢静脉曲张经皮静脉内激光成形术术后并发症。现报道如下。
1资料与方法
1.1一般资料选择2015年6月至2016年6月期间南昌市中西医结合医院普外一科收治的45例53条下肢静脉曲张患肢为研究对象。单纯应用LASEmaR1000激光治疗仪设为Repeat模式激光治疗的下肢静脉曲张患者22例26条患肢为对照组，其中男13例，女9例，平均27～28岁，平均46.00岁，病程3～29年，平均8.95年。行CEAP临床分级[4]：C3 4条，C4 12条，C5 8条，C6 2条。行LASEmaR1000激光治疗仪设为Repeat模式激光联合八珍汤加减治疗的下肢静脉曲张患者23例27条患肢为观察组，其中男16例，女7例，年龄25～81岁，平均47.52岁，病程2～28年，平均9.22年，行CEAP临床分级：C3 5条，C4 13条，C5 7条，C6 2条。对照组和观察组一般资料经统计学处理，差异无统计学意义(P>0.05)，具有可比性。见表1。, 百拇医药(朱远贵冯志)
【关键词】下肢静脉曲张；大隐静脉高位结扎；经皮静脉内激光成形术；八珍汤
【中图分类号】R654.4【文献标志码】 A【文章编号】1007-8517(2017)01-0087-03
Clinical Study on the Treatment of Varicose Veins by Percutaneous Intravenous Laser Angioplasty Combining with Bazhen Decoction
ZHU Yuangui1FENG Zhi2*
1.Clinical Medicine of Jiangxi University of Traditional Chinese Medicine， Nanchang 330000，China；
2.Nanchang Hospital of Traditional Chinese and Western Medicine， Nanchang 330000，China
Abstract：Objectives To explore new treatment methods of postoperative recovery of varicose vein of lower limbs after being treated with percutaneous intravenous laser angioplasty.Methods 53 affected lower limbs with varicose vein of 45 cases were diagnosed with qi deficiency and blood stasis by the treatment according to the syndrome differentiation after operation were randomly divided into the control group and the observation group according to random number table method. Patients from the control group were treated with percutaneous intravenous laser angioplasty and carthamin yellow treatment while patients from the observation group were given oral administration of Bazhen decoction on the basis of the control group.Results The recovery time of postoperative complications including ecchymosis， limb pain， limb swelling and funicular induration of the observation group was evidently shorter than that of the control group and the difference had statistical significance (P<0.05).Conclusion Percutaneous intravenous laser angioplasty combining with Bazhen decoction has a significant curative effect on treating postoperative complications of varicose vein of lower limbs after being treated with percutaneous intravenous laser angioplasty.
Keywords：Varicose Vein of Lower Limbs；High Ligation of Great Saphenous Vein；Percutaneous Intravenous Laser Angioplasty；Bazhen Decoction
在我國下肢静脉疾病的患者近1亿，其病率为8.89%[1]，下肢静脉曲张是下肢静脉常见疾病之一，易引发多种并发症[2]。下肢静脉曲张是因静脉返流异常所导致的病症。首先患者会有下肢疲劳胀痛等症状，但没有明显的体征；继而会有毛细静脉血管扩张，下肢静脉的曲张；下肢皮肤缺乏营养导致：色素沉着、湿疹等；最后是下肢溃疡，迁延难愈[3]。目前手术是治疗下肢静脉曲张的首选方法，但是单纯用西医手术疗法，创伤较大，费用昂贵，且部分患者术后常有皮下瘀斑、卵圆窝血肿、患肢麻木、患肢疼痛、患肢肿胀及条索状硬结等并发症。笔者采用中药八珍汤加减治疗下肢静脉曲张经皮静脉内激光成形术术后并发症。现报道如下。
1资料与方法
1.1一般资料选择2015年6月至2016年6月期间南昌市中西医结合医院普外一科收治的45例53条下肢静脉曲张患肢为研究对象。单纯应用LASEmaR1000激光治疗仪设为Repeat模式激光治疗的下肢静脉曲张患者22例26条患肢为对照组，其中男13例，女9例，平均27～28岁，平均46.00岁，病程3～29年，平均8.95年。行CEAP临床分级[4]：C3 4条，C4 12条，C5 8条，C6 2条。行LASEmaR1000激光治疗仪设为Repeat模式激光联合八珍汤加减治疗的下肢静脉曲张患者23例27条患肢为观察组，其中男16例，女7例，年龄25～81岁，平均47.52岁，病程2～28年，平均9.22年，行CEAP临床分级：C3 5条，C4 13条，C5 7条，C6 2条。对照组和观察组一般资料经统计学处理，差异无统计学意义(P>0.05)，具有可比性。见表1。, 百拇医药(朱远贵冯志)