首页|期刊导航|中华医学杂志（英文版）|Two mechanical methods for thromboembolism prophylaxis after gynaecological pelvic surgery: a prospective, randomised study
中华医学杂志（英文版）2012，Vol.125Issue(23)：4259-4263,5.DOI:10.3760/cma.j.issn.0366-6999.2012.23.018
Two mechanical methods for thromboembolism prophylaxis after gynaecological pelvic surgery: a prospective, randomised study
Two mechanical methods for thromboembolism prophylaxis after gynaecological pelvic surgery: a prospective, randomised study
摘要
Abstract
Background Venous thromboembolism is known to be an important social and health care problem because of its high incidence among patients who undergo surgery.Studies on the mechanical prophylaxis of thromboembolism after gynaecological pelvic surgery are few.The aim of our study was to evaluate the effect of mechanical thromboembolism prophylaxis after gynaecological pelvic surgery using a combination of graduated compression stockings (GCS) and intermittent pneumatic compression (IPC) or GCS alone.Methods The study was performed on 108 patients who were randomly assigned to two groups.The first group received GCS before the operation and IPC during the operation (IPC+GCS group).The second group received GCS before the operation (GCS group).To analyze the effect of the preventive measures and the laboratory examination on the incidence of thrombosis and to compare the safety of these measures,the incidence of adverse reactions was assessed.Results The morbidity associated with DVT was 4.8％ (5/104) in the IPC+GCS group and 12.5％ (14/112) in the GCS group.There were significant statistical differences between the two groups.There were no adverse effects in either group.Conclusions The therapeutic combination of GCS and IPC was more effective than GCS alone for thrombosis prevention in high-risk patients undergoing gynaecological pelvic surgery,and there were no adverse effects in either group.(No.ChiCTR-PRC-10000935).关键词
deep vein thrombosis/pulmonary thromboembolism/intermittent pneumatic compression devices/prophylaxis/surgeryKey words
deep vein thrombosis/pulmonary thromboembolism/intermittent pneumatic compression devices/prophylaxis/surgery引用本文复制引用
GAO Jie,JIANG Ying,ZHAO Na,ZHANG Zhen-yu,LI Zhan,LIU Chong-dong,ZHAN Yu-xin,QIAO Bao-li,SANG Cui-qin,GUO Shu-li,WANG Shu-zhen..Two mechanical methods for thromboembolism prophylaxis after gynaecological pelvic surgery: a prospective, randomised study[J].中华医学杂志（英文版）,2012,125(23):4259-4263,5.基金项目
This study was supported by a grant from the Beijing Medicine Research and Development Fund (No.2005-1005). （No.2005-1005）
