摘要
目的:探讨经穴位电刺激对膝关节置换术后患者凝血四项的影响。方法:将80例人工膝关节置换术后的患者随机分为2组(对照组和治疗组各40例),对照组术后皮下注射低分子肝素治疗,治疗组采用低分子肝素联合经穴位电刺激治疗方法。分别在入院第2天,术后24 h,48 h,7 d晨7点的静脉血液抽血检测凝血酶原时间(PT)、纤维蛋白原(FIB)、活化部分凝血活酶时间(APTT)和D-二聚体(D-D)。结果:与对照组相比,治疗组患者治疗前凝血指标,DD,APTT差异无统计学意义(P>0.05),术后24 h时治疗组PT,APTT,TT,FIB差异无统计学意义(P>0.05),术后48 h时治疗组中ATPP,TT差异有统计学意义(P<0.05),TT,FIB差异无统计学意义(P>0.05),术后7 d时治疗组PT,APTT,TT,FIB差异有统计学意义(P<0.05);与对照组相比,治疗组D-D水平降低,差异有统计学意义(P=0.01);与对照组相比,术后7 d时治疗组大腿周径降低,差异有统计学意义(P=0.04)。结论:经穴位电刺激可改善膝关节置换术后患者血液高凝状态,降低静脉血栓形成的发生率。
Objective:To observe the clinical effect of percutaneous acupoint electrical stimulation on the prevention of deep venous thrombosis(DVT)after knee arthroplasty. Methods:All 80 patients who have underwent knee arthroplasty were randomly divided into control group and experimental group with 40 cases in each group from September 2016 to May 2019 in our hospital. The control group performed low molecular weight heparin subcutaneous injection and the experimental group performed percutaneous acupoint electrical stimulation with low molecular weight heparin subcutaneous injection. Prothrombin time(PT),fibrinogen(FIB),activated partial thrombin time(APTT) and d-dimer were detected 1 d before operation,24 h,48 h and 7 d after operation. Results:Compared with control group,no significant difference was found in the PT,APTT,D-D of experimental group(P>0.05). PT,APTT,TT,FIB in the experimental at 24 h after surgery revealed no significant difference as compared with before(P>0.05). ATPP,TT at 48 h showed significant difference in experimental group(P<0.05),TT,FIB had no difference(P>0.05). TT,APTT,FIB,PT at 7 d showed significantly different(P<0.05).Compared with the control group at 7 d,D-D and perimeter of leg from the experimental group revealed the significant statistic difference(P<0.05). Conclusion:Percutaneous acupoint electrical stimulation can improve the hypercoagulable state of the patients and reduce the incidence of venous thrombosis after knee replacement.
作者
唐永亮
曾加礼
TANG Yongliang;ZENG Jiali(Orthopasdiss Department,Xi'an Central Hospital,Xian 710001,China;Orthopaedics Department,Hanzhong People's Hospital,Hanzhong 723000,Shaanxi China)
出处
《中国中医骨伤科杂志》
CAS
2020年第7期29-32,共4页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
电刺激
膝关节置换术
凝血
percutaneous acupoint electrical stimulation
knee replacement
blood coagulation
