Clinical Observation of Kudiezi Injection Combined with Low Molecular Weight Heparin in the Prevention of Lower Extremity Deep Venous Thrombosis After Hip Replacement
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Clinical Observation of Kudiezi Injection Combined with Low Molecular Weight Heparin in the Prevention of Lower Extremity Deep Venous Thrombosis After Hip Replacement
JIAO Jiaxun, ZHU Xiaoli, SUO Na, et al. Clinical Observation of Kudiezi Injection Combined with Low Molecular Weight Heparin in the Prevention of Lower Extremity Deep Venous Thrombosis After Hip Replacement. [J]. 20(11):1321-1323(2020)
JIAO Jiaxun, ZHU Xiaoli, SUO Na, et al. Clinical Observation of Kudiezi Injection Combined with Low Molecular Weight Heparin in the Prevention of Lower Extremity Deep Venous Thrombosis After Hip Replacement. [J]. 20(11):1321-1323(2020) DOI: 10.14009/j.issn.1672-2124.2020.11.010.
Clinical Observation of Kudiezi Injection Combined with Low Molecular Weight Heparin in the Prevention of Lower Extremity Deep Venous Thrombosis After Hip Replacement
OBJECTIVE: To probe into the clinical efficacy of Kudiezi injection combined with low molecular weight heparin in the prevention of lower extremity deep venous thrombosis( DVT) after hip replacement. METHODS:Totally 120 patients with hip replacement admitted into Harrison International Peace Hospital from Jan. 2017 to Jan.2019 were extracted to be divided into the the observation group( n = 60) and the control group( n = 60) via the random number table. Patients in the control group were treated with low molecular weight heparin after surgery
while the observation group received low molecular weight heparin combined with Kudiezi injection after surgery. The incidence of DVT
the degree of limb swelling and pain
hemorheology
D-dimer
level of inflammatory factors and adverse drug reactions of two groups were observed and compared. RESULTS: After surgery of 30 d
the incidence of DVT in the observation group was 5. 00%( 3/60)
significantly lower than 16. 67%( 10/60) in the control group
the difference was statistically significant( χ2= 4. 23
P < 0. 05). After surgery of 7 d
the degree of swelling and pain of the observation group was significantly lower than that of the control group; the levels of hemorheology
inflammatory factors and D-dimer in the observation group were significantly lower than those in the control group
and the differences were statistically significant( P < 0. 05). The incidence of adverse drug reactions in the observation group and the control group was 8. 33%( 5/60) and 6. 67%( 4/60)
respectively
with no statistically significant difference( P > 0. 05). There was no statistically significant difference in the levels of coagulation function indexes between two groups before surgery and after surgery of 7 d( P > 0. 05). CONCLUSIONS: Kudiezi injection combined with low molecular weight heparin can reduce hemorheology and inflammatory factor levels in patients after hip replacement
relieve pain and swelling of affected extremity
and decrease the occurrence of DVT.
关键词
苦碟子注射液低分子肝素髋关节置换下肢深静脉血栓
Keywords
Kudiezi injectionLow molecular weight heparinHip replacementLower extremity deep venous thrombosis