周期性充气加压在下肢深静脉血栓治疗中的应用  

Clinical study of intermittent pneumatic compression in the treatment of deep venous thrombosis

作　　者：吴显培 唐建东 秦汉兴 胡巍 卢伟杰[2] 白波[2] 

机构地区：[1]广西桂林市人民医院骨科,桂林541002 [2]广州医学院第一附属医院骨科,广州510120

出　　处：《中国矫形外科杂志》2010年第8期638-640,共3页Orthopedic Journal of China

摘　　要：[目的]探讨单独使用周期性充气加压装置应用于下肢深静脉血栓的疗效。[方法]对比研究2000年12月-2007年8月对52例骨科下肢深静脉血栓患者在溶栓或介入接触性溶栓术后用与不用周期性充气加压的疗效。病人分两组：第1组（32例）溶栓或导管介入接触性溶栓术后常规使用低分子肝素及华法林；第2组（20例）在第1组的基础上加用周期性充气加压，对比两组中需追加溶栓例数、症状开始缓解时间、第7d肿胀消退程度及1个月后病变段静脉再通程度。[结果]第1组有3例需追加溶栓，第2组没有需追加溶栓者；第2组症状缓解快、肿胀消退明显、病变段静脉再通程度高。[结论]周期性充气加压在深静脉血栓的综合治疗中能发挥良好的效果。[Objective]To investigate the curative effect of intermittent pneumatic compression （IPC） in the treatment of deep venous thrombosis （DVT） after interventional thrombelysis. [ Method] Fifty-two cases of DVT were treated from December 1998 to August 2007 ,and divided into 2 groups randomly. In the first group, all cases received low molecular heparin and warfarin after routine or interventional thrombolysis. In the second group, IPC was used on the basis of group one. Two groups were compared about cases for repeated thrombolysis, time point of symptom relief, reduction of swelling at 7 days after surgery, re-canalization of vein at 1 month after surgery. [ Result ] Three cases in the first group needed repeated thrombolysis while none was found in the second group. In the second group, quicker symptom relief, more obvious reduction of swelling, wider re-canalization of vein were observed compared with the first group. [ Conclusion] IPC is proved effective in the comprehensive therapy of DVT.

关 键 词：周期性充气加压 治疗 深静脉血栓形成 

分 类 号：R543[医药卫生—心血管疾病]