实用医学杂志 ›› 2019, Vol. 35 ›› Issue (16): 2649-2653.doi: 10.3969/j.issn.1006-5725.2019.16.030

• 中医药现代化 • 上一篇    下一篇

血管腔内成形术联合通冠胶囊治疗下肢动脉硬化闭塞症的近期疗效

刘文导, 黄准, 孟凡喆, 陈捷晗, 张敏州, 常钢, 蔡炳勤   

  1. 广州中医药大学第二临床医学院(广东省中医院)介入科(广州 510120)
  • 收稿日期:2019-03-04 出版日期:2019-08-27 发布日期:2019-08-27
  • 通讯作者: 常钢 E-mail:6075468@qq.com
  • 基金资助:
    广东省科技计划项目(编号:2017ZC0199)

Short-term effect of transluminal angioplasty combined with Tongguan capsule on arteriosclerosis obliterans

LIU Wendao, HUANG Zhun, MENG Fanzhe, CHEN Jiehan, ZHANG Minzhou, CHANG Gang, CAI Bingqin   

  1. Department of Interventional Radiology, the Second School of Clinical Medicine, Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Traditional Chinese Medicine), Guangzhou 510120, China
  • Received:2019-03-04 Online:2019-08-27 Published:2019-08-27
  • Contact: CHANG Gang E-mail:6075468@qq.com

摘要: 目的 观察动脉血管腔内成形术联合通冠胶囊治疗下肢动脉硬化闭塞症(arteriosclerosis obliterans, ASO)患者的近期临床疗效。方法 60例ASO患者均接受下肢动脉血管腔内成形术,治疗组30例口服通冠胶囊,对照组30例未服用通冠胶囊,观察术后患者疼痛改善情况、下肢血运改善情况及随访1、3、6个月患者生存质量及血管再狭窄率。结果 治疗组与对照组对比,术后1、3、6个月踝臂指数比较差异有统计学意义(P < 0.05),术后3、6个月血管通畅率比较差异有统计学意义(P < 0.05),术后3、6个月疼痛症状比较差异有统计学意义(P < 0.05)。结论 动脉血管腔内成形术联合通冠胶囊对于治疗ASO疗效确切,可提高患者生存质量,值得临床推广。

关键词: 血管腔内成形, 通冠胶囊, 下肢动脉硬化闭塞症, 血管通畅率, 疼痛缓解率, 保肢率

Abstract: Objective To observe the short-term effect of transluminal angioplasty combined with Tongguan capsule in the treatment of arteriosclerosis obliterans (ASO). Methods Sixty patients with ASO who received transluminal angioplasty were enrolled and divided into treatment group with oral administration of Tongguan capsule (n = 30) and control group (n = 30). The improvement of postoperative pain and lower limb blood supply were observed. The quality of life and vascular restenosis rate 1 month, 3 and 6 months after the treatment were followed up. Results Compared with that in the control group, the ankle brachial index in the treatment group 1, 3 and 6 months after the surgery was lower (P < 0.05); the patency of vessel in the treatment group 3 and 6 months after the surgery was better (P < 0.05) and postoperative pain in the treatment was improved (P < 0.05). Conclusion sTransluminal angioplasty combined with Tongguan capsule is beneficial to the treatment of ASO and could improve patients′ quality of life.

Key words: transluminal angioplasty, Tongguan capsule, arteriosclerosis obliterans, patency of vessel, pain improvement, limb retention rate