血栓闭塞性脉管炎107例临床治疗观察

作者	单位
潘金友	上海第二医科大学附属瑞金医院中医外科
郑萍	上海第二医科大学附属瑞金医院中医外科
曲海军	上海第二医科大学附属瑞金医院中医外科

摘要点击次数: 1093

全文下载次数: 869

中文摘要:

中西医结合治疗各期血栓闭塞性脉管炎107例,近期显效76例,占71.03%,有效21例,占19.63%,总有效率90.66%。治疗前后部分患者经肢体阻抗血流图和血液流变学对比观察:治疗后患肢每搏、每分钟及肢体每100ml 组织每分钟血流量提高,平均提高率为61.98%～85.4%(P<0.005～0.001);血液流交学各指标值降低,平均降低率为1.81%～10.65%(P<0.05～0.01)。本组采用中西医结合治疗疗效有所提高。

英文摘要:

107 cases of thromboangiitis obliterans(TAO)were treated by TCM-WM therapy.The therapeu- tic principles of TCM are to benefit Qi(气),vitalize blood,permeate wetness and dredge channels, for which the fundamental prescription is Radix Astragali,Radix Salvia Miltiorrhizae,Radix Angelicae Sinensis,Ligusticum wallichii,Flos Carthami,Radix Paeoniae Rubra,Semen Persicae, Radix Achyranthis Bidentatae,Poria,Polyporus umbellatus and Glycyrrhiza.The herbs are to be modified according to the different patterns of blood-stasis complicated with cold accumulation, wet-heat,heat-toxic and Qi-deficiency.The TCM anesthesia,anidous,fibrinolysis drugs and anti- TAO No.Ⅱ～Ⅲ should be applied at option in accordance with the patient’s condition.The external drug of clearing heat,drawing toxis,eliminating spoiled tissues and growing muscles are to be applied simultaneously.Of 107 cases,male 106,female 1;in-patients 56 and out-patients 51;the age ranged from 22～58(average 38)were all treated in Ruijin Hospital.The course of treatment was the shortest 4 months and longest 27 years,with an average of 7 years and 5 months.Stage Ⅰ,21 cases; Ⅱ,37;and Ⅲ,49 cases.States of disease were stabilized 19,remittent 53 and progressing 35 cases. The changes of symptoms and signs were observed before and after treatment.The plethysmogram and hemorrheology were also examined in a part of patients.The latest effects on 107 cases indicated that the marked effective rate was 71.03%,effective 19.63% with a total effective rate 90.66%.The objective parameters were obviously improved(P<0.05～0.01).

关闭