全髋关节置换术后预防深静脉血栓形成的研究

被引：26

作者：

魏华

苏涛

高士芳

机构：

[1] 青岛大学医学院附属医院

来源：

护理研究 | 2004年 / 17期

关键词：

全髋关节置换术; 深静脉血栓形成; 感应性抗血栓泵;

D O I：

暂无

中图分类号：

R687.4 [关节手术];

学科分类号：

1002 ; 100210 ;

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 7d。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 3 7.5 %、15 .0 %、2 0 .0 %、5 .0 % ,空白对照组有 1例肺栓塞发生 ,经 χ2 检验 ,有统计学意义(P <0 .0 5 )。 [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。

引用

页码：1544 / 1546

页数：3

共 9 条

[1]

Intraoperative ultrasonic measurement of common femoral venous blood flow during total hip replacement. Wuh H C K,Woolsen S T,McCrory D W. Transactions of Orthopaedic Research Society . 1989

[2]

A comparison of subcutaneous low- molecular-weight heparin with warfarin sodium for prophylaxis against deep vein thrombosis after hip or knee implantation. Hull R,Raskobv G,Pineo G,et al. The New England Journal of Medicine . 1993

[3]

Intermittent pneumatic compression prophylaxis for proximal deep venous thrombosis after total hip replacement. Woolson S T. Journal of Bone and Joint Surgery British Volume . 1996

[4]

Hemodynamic and fibrinolytic consequences of intermittent pneumatic compression: Preliminary results. Jacobs D G,Piotrowski J J,Hoppensteadt D A,et al. The Journal of Trauma . 1996

[5] 下肢深静脉功能不全的检测与修复材料选择的研究 [J].

曲明 ;

于永山 ;

张培华 ;

蒋米尔 ;

薛莲 .

中国修复重建外科杂志, 1999, (02) :6-8

[6]

A prospective study onintermittent pneumatic compression in the prevention of deepvein thrombosis in patients undergoing total hip or total kneereplacement. Mark J,Pidala M D,Duane L,et al. Surgery Gynecology and Obstetrics . 1992

[7]

Bloodflow augmentation of intermittent pneumatic compression systems used for prevention of deep vein thrombosis prior to surgery. Flam E,Berry S,Coyle A,et al. The American Journal of Surgery . 1996

[8]

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. Colwell C W,Spiro T E,Trowbridge A A,et al. Journal of Bone and Joint Surgery British Volume . 1994

[9]

The fibrinolytic effects of intermittent pneumatic compression: Mechanism of enhanced fibrinolysis. Comerota A J,Chouhan V,Harada R N,et al. Annals of Surgery . 1997

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