丹红注射液对下肢骨折患者凝血及局部微循环状态的影响研究
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四川省雅安市中医药卫生基金项目(编号:201828292)


Study on Influence of Danhong Injection on the Coagulation and Local Microcirculation of Patients with Lower Extremity Fractures
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    摘要:

    目的:探讨丹红注射液对下肢骨折患者凝血功能和局部微循环状态的影响。方法:将2012年9月至2013年2月期间本院收诊的下肢骨折患者随机分成2组,对照组和治疗组各72例。所有患者均采用手术内固定治疗骨折,治疗组患者术后静脉滴注丹红注射液,40 mL(次·d),连续给药2周。比较治疗前后2组患者间骨代谢指标、凝血功能指标及微循环相关指标差异。结果:治疗7、28 d后,治疗组骨碱性磷酸酶(Bone Alkaline Phosphatase,BALP)比例和血清碱性磷酸酶(Alkaline Phosphatase,BGP)、I型前胶原羧基端肽(Procollagen Carboxyl Terminal Peptide,PICP)浓度显著高于对照组,内皮素(Endothelin,ET)和血清C反应蛋白(C Reactive Protein,CRP)水平显著低于对照组;治疗组患者凝血酶时间(Thrombin Time,TT)、凝血酶原时间(Prothrombin Time,PT)、活化部分凝血活酶时间(Activated Partial Thromboplastin Time,APTT)、纤维蛋白原(Fibrinogen,Fb)显著长于对照组;治疗组患者甲襞微循环指标形态积分、流态积分、周围状态积分和总积分显著低于对照组,毛细血管流速显著快于对照组,而白微栓则显著低于对照组(P<0.05)。结论:丹红注射液有助于下肢骨折患者凝血功能和微循环障碍的改善,有利于患者的骨骼愈合。

    Abstract:

    To observe the influence of Danhong injection on the coagulation and local microcirculation of patients with lower extremity fractures.Methods:Patients with lower extremity fractures treated in our hospital from September 2012 to February 2013 were randomly divided into control group (n=72) and observation group (n=72).All the patients were treated with internal fixation treatment,and patients in observation group were also treated with danhong injection,40ml/time/day,for 2 weeks.Then the indexes of bone metabolism,coagulation and local microcirculation of two groups were compared.Results:After 7,28 days of treatment,the serum levels of BALP,BGP and PICP of observation group were all higher than those of the control group; the ET and CRP were lower than those of control group; and the TT,PT,APTT,Fb of observation group were significantly shorter than those of the control group; the indexes of nailfold microcirculation such as form integral,flow state integral,points around the state and total integral of observation group were all significantly lower than those of the control group; the capillary flow rate was much faster in observation group; white micro-bolt of the observation group was lower than that of control group,all P<0.05.Conclusion:Danhong injection can effectively improve the coagulation and local microcirculation of patients with lower extremity fractures,and benefit the patients bone healing.

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王 涛.丹红注射液对下肢骨折患者凝血及局部微循环状态的影响研究[J].世界中医药,2014,9(08).

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  • 收稿日期:2014-03-26
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  • 在线发布日期: 2014-08-25
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