摘要
Abstract
Objective:To explorer analgesia combined with low molecular weight heparin treatment of hip fracture in elderly patients with lower extremity deep venous thrombosis and plasma D-dimer concentration effect of two.Methods:in our hospital 2012 July ~2014 year in December admitted 150 cases of elderly patients with hip fracture, the fracture patients were grouped according to the random number table method, respectively, as the study group and the control group, 75 cases in each group.The two groups were treated with o-ral aspirin analgesic, among of which the research of the combination of low molecular weight heparin in the treatment of.Record two groups of patients at admission, after treatment, 1D, 3D, 6D blood cell analysis, the change of coagulation, the plasma D-two dimer concentration and lower extremity deep vein thrombosis incidence, and make a comparison.Results:Research group of blood cell analysis and analysis of coagulation was lower than the control group (P<0.05);the study group and the control group in the patients detection of plasma D-dimer concentration of two (942.18 +241.26) ng/ml, (931.26 +242.68) ng/ml (P>0.05);the study group using the combination of low molecular heparin in the treatment of pain after 1D, 3D, 6D detection of plasma D-dimer concentration of two (464. 25 +192.64) ng/ml, (312.02 +110.66) ng/ml, (102.36 +25.12) ng/ml, the control group with simple analgesia after treatment 1D, 3D, 6D detection of plasma D-dimer concentration of two (878.46 +209.45) ng/ml, (617.21 +178.56) ng/ml, (527.31 +106.14) ng/ml, the difference was statistically significant (P<0.05).The study group after the treatment of hip fracture in elderly pa-tients with deep vein thrombosis of lower extremities level occurrence rate is 6.67%, while the control group was 28%, the difference was statistically significant (P<0.05).Conclusion: We concluded the study found that blood cell research group analysis and coagulation function using analgesia combined with low molecular weight heparin treatment of the results of the analysis should be significantly lower than the control group, the study group after the treatment of hip fracture in elderly patients with deep vein thrombosis of lower extremities level was also significantly lower than that of control group.Analgesia combined with low molecular weight heparin therapy could effective-ly reduce hip analysis, blood cell in elderly patients with coagulation function, plasma D dimer and two deep venous thrombosis of lower extremity fractures, be worth to popularize in clinic.关键词
镇痛/髋部骨折/下肢深静脉血栓形成/低分子肝素/血浆D-二聚体Key words
Analgesia/Hip fracture/Lower limb deep venous thrombosis/Low molecular weight heparin/Plasma d-dimer分类
医药卫生
