目的：观察内外合治血栓性浅静脉炎（SVT）并发深静脉血栓形成（DVT）的疗效。方法：选取66例SVT合并DVT患者，调查其发病的一般资料，给予基础的抗凝、溶栓治疗，并根据中医辨证给予不同汤剂，同时配合马黄酊涂擦和冰硝散外敷，监测D-二聚体、纤维蛋白原水平，用彩超评价静脉再通情况。结果：本组治愈38例，显效23例，有效5例，显愈率92.42%。D-二聚体、纤维蛋白原水平较治疗前降低（P＜0.05）。SVT、DVT静脉通畅度评分治疗后14 d分别为(1.06±0.24)、(3.08±2.70)，28 d分别为(0.88±0.37)、(2.03±2.0)，与治疗前比较显著降低（P＜0.01）。结论：静脉曲张和SVT是DVT不可忽视的危险因素。针对SVT合并DVT采取内外合治的中西医结合治疗方案，可取得满意的疗效，明显改善患肢静脉再通情况。%Objective To observe the curative effect of internal and external treatment on superficial ve⁃nous thrombosis(SVT) complicated with deep venous thrombosis(DVT). Methods Sixty-six patients of SVT complicated with DVT were given the treatment of basic anticoagulation, thrombolysis, and different herbal medi⁃cine based on syndrome differentiation. At same time, Mahuang tincture was rubbed and Bingxiao powder agent was used for external application. D-dimer, fibrinogen and vein colour Doppler ultrasonography were periodical⁃ly monitored. Results In this group, 38 cases were cured, 23 cases were markedly effective, 5 cases were ef⁃fective, and the cured and markedly effective rate was 92.42%. D-dimer and fibrinogen were decreased significantly than before treatment(P<0.05). SVT and DVT venous patency score after treatment were 1.06 ± 0.24, 3.08 ± 2.70 at 14 days and 0.88 ± 0.37, 2.03±2.0 at 28 days, respectivelly. There were signifi⁃cant differences compared with before treatment. Conclusion Varicose and SVT are the risk factors of DVT that cannot be ignored. The internal and external treatment of SVT complicated with DVT can be achieved satisfactory curative effect, and significantly improve limb vein recanalization.
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