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全髋关节置换术后预防深静脉血栓形成的研究 被引量:27

A study on prevention of deep vein thrombus in patients underwent total hip replacement
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摘要 [目的]观察全髋关节置换术后使用感应性抗血栓泵(SCD)、速碧林预防深静脉血栓(DVT)形成的效果.[方法]将160例单侧人工全髋关节置换术病人随机分为4组,即空白对照组、感应性抗血栓泵组、速碧林组、感应性抗血栓泵加速碧林组.术后第1天开始使用,连续使用7 d.术后第8天通过超声多普勒检查确诊有无DVT、形成.[结果]4组DVT的发生率分别为37.5%、15.0%、20.0%、5.0%,空白对照组有1例肺栓塞发生,经x2检验,有统计学意义(P<0.05).[结论]全髋关节置换术后,单纯使用抗血栓泵或速碧林可以有效地降低DVT的发生率,综合使用两种方法效果更佳. Objective: to observe on the effect of applying SCD irritability anti-thrombus pump and Nadroparin Calcium Injection to prevent deep vein thrombus (DVT) in patients underwent total hip replacement. Method: a total of 160 patients who would be undergoing unilateral artificial total hip replacement were divided into 4 groups randomly, that was blank control group, SCD group, Nadroparin Calcium Injection group and combination of SCD and Nadroparin Calcium Injection group. The countermeasures were started on the first day after operation for 7 days. All patients were checked via ultrasound Doppler to confirm if he had got deep vein thrombus on the eighth day after operation. Result: the incidences of DVT in each group patients were 37.5%, 15.0%, 20.0% and 5.0% respectively. Among them, a case of blank control group developed pulmonary embolism. There were significant differences between these groups (χ 2 test,P<0.05). Conclusion: it is effective to decrease the incidence of DVT for patients undergoing total hip replacement by using either SCD or Nadroparin Calcium Injection only. However the efficiency would be improved much better by combining SCD and Nadroparin Calcium Injection.
作者 魏华 苏涛 高士芳 Wei Hua,Su Tao,Gao Shifang (Affiliated Hospital of Medical College of Qingdao University, Shandong 266003 China)
出处 《护理研究》 2004年第9期 1544-1546,共3页 Chinese Nursing Research
关键词 全髋关节置换术 深静脉血栓形成 感应性抗血栓泵 total hip replacement formation of deep vein thrombus response sequential compression system
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  • 1曲明,张培华.下肢深静脉功能不全的检测与修复材料选择的研究[J].中国修复重建外科杂志,1999,13(2):65-67. 被引量:6
  • 2Colwell C W, Spiro T E, Trowbridge A A, et al. Use of enoheparin, a low molecular-weight heparin and unfractionated heparin for the prevention of deep venous thrombosis after elective hip replacement:A clinical trial comparing efficacy and safety[J ]. J B 被引量:1
  • 3Hull R, Raskobv G, Pineo G, et al. A comparison of subcutaneous low - molecular- weight heparin with warfarin sodium for prophylaxis against deep vein thrombosis after hip or knee implantation[J]. New Eng J Med, 1993,329: 1370. 被引量:1
  • 4Mark J, Pidala M D, Duane L, et al. A prospective study on intermittent pneumatic compression in the prevention of deep vein thrombosis in patients undergoing total hip or total knee replacement[J ]. Surg Gynecol Obste, 1992,175: 47. 被引量:1
  • 5Jacobs D G, Piotrowski J J, Hoppensteadt D A, et al. Hemodynamic and fibrinolytic consequences of intermittent pneumatic compression: Preliminary results[J]. J Trauma, 1996,40(5) :710. 被引量:1
  • 6Woolson S T. Intemittent pneumatic compression prophylaxis for proximal deep venous thrombosis after total hip replaeement [ J ]. J Bone Joint Surg,1996,78:1735. 被引量:1
  • 7Flam E, Berry S, Coyle A, et al . Blood flow augmentation of intermittent pneumatic compression systems used for prevention of deep vein thrombosis prior to surgery[J ]. Am J Surg, 1996, 1771 (3):312. 被引量:1
  • 8Wuh H C K, Woolsen S T, McCrory D W. Intraoperative ultrasonic measurement of common femoral venous blood flow during total hip replacement [ J ].Trans Orthop Res, 1989,14:423. 被引量:1
  • 9Comerota AJ, Chouhan V, Harada R N,et al. The fibrinolytic effects of intermittent pneumatic compression: Mechanism of enhanced fibrinolysis [ J ]. Ann Surg,1997,226(3) :306. 被引量:1

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