Clinical study on the treatment of improved Chinese medicine wet hot application to prevent lower extremities deep vein thrombosis in patients in acute stage of cerebral infarction in based on the prevention of disease
10.3760/cma.j.cn211501-20240626-01678
- VernacularTitle:基于治未病理论探讨改良中药湿热敷预防脑梗死急性期偏瘫患者发生下肢深静脉血栓的临床研究
- Author:
Wen HUANG
1
;
Fang GE
;
Minping FENG
;
Mengcheng XU
Author Information
1. 浙江中医药大学附属杭州市中医院急诊科，杭州 310007
- Publication Type:Journal Article
- Keywords:
Brain infarction;
Hemiplegia;
Prevention and treatment;
Traditional Chinese medicine wet and hot compress;
Lower extremities deep vein thrombosis
- From:
Chinese Journal of Practical Nursing
2025;41(11):801-807
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the clinical effect of improved traditional Chinese medicine wet hot application to prevent the formation of lower extremities deep venous thrombosis (LEDVT) after acute stage hemiplegia of cerebral infarction based on the prevention of disease, so as to provid a theoretical basis for the formation of wet heat application of improved traditional Chinese medicine to prevent LEDVT of hemiplegia after acute stage of cerebral infarction.Methods:A total of 62 patients with cerebral infarction acute hemiplegia were admitted to Hangzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medicine University from January 2022 to January 2024, which were divided into control group ( n = 31) and observation group ( n = 31) according to the random number table method. The control group implemented routine rehabilitation nursing, and the observation group adopted the improved traditional Chinese medicine wet-heat application technology on the basis of the control group. Compared the change of blood flow velocity of D-dimer, femoral vein and inter muscle vein before and after 14 days of intervention, and the occurrence of LEDVT after 14 days of intervention. Results:The age of the control group was (68.90 ± 6.30) years, 19 males and 12 females. The age of the observation group was (70.52 ± 8.69) years, 18 males and 13 females. Before intervention, the D-dimer index, femoral vein and intermuscular vein blood flow velocities of the 2 groups were compared, and the differences were not statistically significant (all P>0.05). After 14 days of intervention, the D-dimer index of the observation group was 0.56 (0.44, 0.73) mg/L, which was statistically lower than 0.68 (0.54, 0.84) mg/L of the control group ( Z = - 2.12, P<0.05). The blood flow velocities of femoral vein and intermuscular vein in the observation group were (24.48 ± 9.25) and (14.08 ± 3.59) cm/s, respectively, which were better than those of (16.64 ± 4.70) and (12.32 ± 2.61) cm/s in the control group, and the differences were statistically significant in all of these cases ( t = -4.21, -2.21, both P<0.05). The incidence of LEDVT in the observation group was 3.23% (1/31) lower than that in the control group which was 25.81% (8/31), and the difference was statistically significan ( χ2 = 4.68, P<0.05). Conclusions:Based on the prevention of diseaset, the application of improved Chinese medicine wet hot application can significantly improve the D-dimer index in patients with acute hemiplegia of cerebral infarction, improve the blood flow velocity of the femoral vein and intermuscle vein of the lower limbs, and effectively prevent the formation of LEDVT, which is worthy of clinical promotion and application.
