Low-molecular-weight heparin plus Shuxuetong for deep venous thrombosis following lower extremity fracture
10.3760/cma.j.issn.1001-8050.2015.01.012
- VernacularTitle:低分子量肝素联合疏血通治疗下肢骨折后深静脉血栓
- Author:
Lei ZHAO
;
Chunsheng WU
;
Yingze ZHANG
;
Zhijie LI
;
Zhaohui SONG
;
Lianxin SONG
;
Aqin PENG
- Publication Type:Journal Article
- Keywords:
Venous thrombosis;
Fractures,lower extremity;
Heparin,low-molecular-weight;
Shuxuetong injection
- From:
Chinese Journal of Trauma
2015;31(1):50-53
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the therapeutic results between low-molecular-weight heparin therapy and combined therapy of low-molecular-weight heparin and Shuxuetong for deep venous thrombosis (DVT) after lower extremity fracture.Methods Forty-two patients with DVT from 1,037 patients with lower extremity fracture treated from December 2010 through November 2012 were included in the study.There were 31 males and 11 females,aged from 26 to 82 years (mean,63 years).The patients were assigned to administration of 4,250 IU low-molecular-weight heparin subcutaneously,twice daily (Group A,n =19)and 4,250 IU low-molecular-weight heparin subcutaneously,twice daily plus shuxuetong to 6 ml intravenously,once daily (Group B,n =23) according to the random number table.A period of treatment was a week.Color Doppler sonography was performed to detect DVT.Results Longest course of treatment was 3 weeks.In Group A,the results were recanalization in 2 patients with mean time of 2.50 weeks,significantly effective in 3 patients with mean time of 2.67 weeks,effective in 7 patients with mean time of 3 weeks,and invalid or worse in 7 patients with mean time of 3 weeks.Whereas in Group B,the results were recanalization in 7 patients with mean time of 1.86 weeks,significantly effective in 12 patients with mean time of 1.83 weeks,effective in 3 patients with mean time of 3 weeks,and invalid or worse in 1 patient with mean time of 3 weeks (P ＜ 0.05).Conclusion Low-molecular-weight heparin plus Shuxuetong is effective in treatment of DVT after lower extremity fracture and hence can be as an option in clinical application.
