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丹参制剂对关节置换患者术后凝血功能及D-二聚体的影响

卢敏 谢心军 杨少峰 严可 陈卓夫 邓博 辛晓春 何科

中医药导报2012,Vol.18Issue(5):23-25,3.
中医药导报2012,Vol.18Issue(5):23-25,3.

丹参制剂对关节置换患者术后凝血功能及D-二聚体的影响

Salvia miltiorrhiza agents for joint replacement surgery patients coagulant function and the D-dimer influence

卢敏 1谢心军 1杨少峰 1严可 1陈卓夫 2邓博 1辛晓春 2何科2

作者信息

  • 1. 湖南中医药大学第一附属医院,湖南长沙,410007
  • 2. 长沙市中医院,湖南长沙,410100
  • 折叠

摘要

Abstract

Purpose: Observation of joint replacement patients during operation period the use of Salvia miltiorrhiza on blood coagulation function and blood rheology,Preliminary study of Salvia miltiorrhiza preparation for preventing deep venous thrombosis mechanism of action. Methods: 40 patients were randomly divided into control group and treatment group, the treat - ment group patients from preoperative day started with Salvia miltiorrhiza injection (Zhengda Qingchunbao Pharmaceutical Company Limited, specifications: 250 mL/bottle)Intravenous infusion, 250 mL/time, 2 times/day, seventh days after the end of.From the eighth postoperative day oral compound Danshen Drop Pills (Tianjin Tasly pharmaceutical limited company, specifications: 270 mg/particle) 270 mg/time, 3 times/day, after fourteenth days to end. Control group 12 hours before surgery, after 12 hours and 24 hours of the subcutaneous injection of low molecular heparin calcium for medicine (Tianjin GlaxoSmithKline Limited) 40AxaIu/kg.After second, 3 day administration of 40AxaIu/kg, fourth days after daily administration of 60AxaIu/kg, and 7 days after operation end,Two groups were observed in patients with plasma prothrombin time, activated partial thromboplastin time, plasma fibrinogen and D-two dimer medication changes before and after. Results: the use of Salvia miltiorrhiza in plasma of patients with plasma prothrombin time, activated partial thromboplastin time, fibrinogen and D-two dimer had obvious improvement than before treatment. With low molecular weight heparin in the prevention of the control group had no significant difference (>0.05). Conclusion: Salvia miltiorrhiza can improve the low joint replacement operation in patients with high blood coagulation state, having antithrombotic effects, preliminary studies suggest that Danshen preparations for major orthopedic opera-tion postoperative prophylaxis of deep venous thrombosis.

关键词

关节置换/丹参注射液/复方丹参滴丸/凝血功能/深静脉血栓/D-二聚体

Key words

Salvia/ Joint replacement/ Coagulation function/ Deep vein thrombosis

分类

医药卫生

引用本文复制引用

卢敏,谢心军,杨少峰,严可,陈卓夫,邓博,辛晓春,何科..丹参制剂对关节置换患者术后凝血功能及D-二聚体的影响[J].中医药导报,2012,18(5):23-25,3.

基金项目

湖南省中医药科研基金项目(编号:2009013) (编号:2009013)

中医药导报

OACSTPCD

1672-951X

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