Abstract:Objective: To investigate the effect of plasmin on DVT and its effect on deep venous blood flow mechanics of lower limbs. Methods: Prospective selection of 184 DVT patients from June 2017 to February 2018 as subjects in our hospital. Divided into two groups according to the numerical random table method, 92 cases in each group. The control group was treated as a normal treatment, and the observation group was treated for plasmin. To observe the clinical efficacy of two patients. And compare the two groups before and after treatment in patients with hemodynamics and inflammatory reaction. Results: In clinical efficacy, the effective rate of the observation group was 92.39%, which was significantly higher than that of the control group (81.52%) (χ2= 4.792, P<0.05). There were no significant differences in FIB, PV, HSV and LSV between the two groups before treatment (P>0.05). After treatment, the FIB, HSV and LSV in the observation group were significantly lower than those in the control group (t=2.984,3.039,2.197,P<0.05). There were no significant differences in CRP, TNF- and il-6 between the two groups before treatment (P>0.05). After treatment, CRP, TNF-a and IL-6 in the observation group were significantly lower than those in the control group (t=9.999, 6.580, 8.536, P<0.05). Conclusion: Fibrinolytic therapy for DVT patients can improve clinical efficacy, significantly improve hemodynamics, and eliminate inflammatory factors.
范惠双, 曾汉强, 莫灿均, 谭志斌, 肖亦明. 纤溶酶治疗下肢深静脉血栓的疗效及对下肢深静脉血流动力学的影响[J]. 河北医学, 2019, 25(8): 1237-1239.
FAN Huishuang, ZENG Hanqiang, MO Canjun, et al. Effect of Plasmin on Deep Venous Thrombosis and its Effect on Venous Blood Flow Mechanics of Lower Extremity. HeBei Med, 2019, 25(8): 1237-1239.
[1] Paik B, Joh J H, Park H C. Anatomic and clinical risk factors for pulmonary embolism in patients with deep venous thrombosis of the lower extremity[J]. Annals of Surgical Treatment & Research, 2017, 92(5):365~369. [2] 田锦林,王海峰,屈尔青,等.下肢深静脉血栓引起症状性非高危肺栓塞的相关危险因素分析[J].医学影像学杂志,2016,25(1):40~43. [3] 俞斌,季英,禹宝庆.下肢深静脉血栓的诊断及治疗进展[J].中国骨与关节损伤杂志,2017,32(1):109~111. [4] Feinberg J, Nielsen E E, Jakobsen J C. Thrombolysis for acute upper extremity deep vein thrombosis.[J]. Cochrane Database of Systematic Reviews, 2017, 12(4):CD012175. [5] 侯玉芬,刘政.下肢深静脉血栓形成诊断及疗效标准(2015年修订稿)[J].中国中西医结合外科杂志,2016,22(5):520~520. [6] 景阳,丁萌,付久园,等.介入置管溶栓联合抗凝治疗产后合并下肢深静脉血栓的疗效分析[J].河北医学,2017,23(8):1316~1319. [7] 李东阳,陈兴国,王勇,等.凝血功能指标与创伤性骨折患者术后深静脉血栓形成的关系[J].中国实验诊断学,2017,20(5):33~36. [8] 丁萌,张青云,景阳,等.炎性反应因子及凝血因子在下肢深静脉血栓形成中作用与相关性分析[J].临床军医杂志,2016,44(11):1175~1177. [9] 王琛,方立挺,陈福春.手术后下肢深静脉血栓形成溶栓治疗时机和方法的临床分析[J].实用医学杂志,2017,33(9):1534~1535.