中国组织工程研究2017，Vol.21Issue(31)：4927-4932,6.DOI:10.3969/j.issn.2095-4344.2017.31.002
髋关节置换围手术期深静脉血栓的防治
Prevention of the perioperative deep venous thrombosis in hip arthroplasty
摘要
Abstract
BACKGROUND: A meta-analysis of the clinical effectiveness of physical therapy combined with drugs versus single physical therapy or drugs for preventing deep venous thrombosis (DVT) has shown that combined therapy can effectively reduce the incidence of DVT.OBJECTIVE: To explore the effective measures of the prevention of perioperative DVT in hip arthroplasty.METHODS: This is a prospective study, 350 patients undergoing hip replacement were randomly divided into two groups, followed by given the treatment of intermittent pneumatic compression combined with standard dose of low-molecular-weight heparin (combination group), or only low-molecular-weight heparin (control group). The perioperative incidence of DVT was observed.RESULTS AND CONCLUSION: (1) The incidence of DVT in the combination group was significantly lower than that in the control group (11% vs. 33.1%, P < 0.01). (2) No symptomatic pulmonary embolism was found in both groups. (3) To conclude, the anticoagulant prevention of DVT using the combination of intermittent pneumatic compression and standard dose of low-molecular-weight heparin is more effective than the use of low-molecular-weight heparin alone.关键词
骨科置入物/人工假体/髋关节大手术/深静脉血栓/低分子肝素/间歇充气加压分类
医药卫生引用本文复制引用
刘剑伟,蒋卫平..髋关节置换围手术期深静脉血栓的防治[J].中国组织工程研究,2017,21(31):4927-4932,6.基金项目
广西壮族自治区卫计委科研课题(Z2014459) the Research Project of Health and Family Planning Commission of Guangxi Zhuang Autonomous Region, No. Z2014459 （Z2014459）
