髋部骨折术后物理措施预防血栓形成的有效性分析  

The effectivity of intermittent low pressure treatment for the prevention of venous thromboembolism after hip fractures

作　　者：陈科[1] 吕小华[2] 曾荣[1] 郭伟韬[1] 陈日景[1] 谭宏昌[1] 

机构地区：[1]广东医学院附属医院骨科,湛江524001 [2]广东医学院药理学教研室

出　　处：《中国现代医药杂志》2012年第3期43-44,共2页Modern Medicine Journal of China

摘　　要：目的探讨髋部骨折围手术期物理措施预防血栓形成的有效性和安全性。方法把96例符合条件的患者分为A和B两组,A组术后应用物理措施预防血栓形成,B组术后应用低分子肝素钙预防血栓形成,通过对比两组深静脉和肺栓塞的发生率及出血性并发症的发生率,比较两组治疗措施的效果。结果 A组48例物理措施预防血栓形成的患者血栓形成的发生率为8.33%,出血性并发症的发生率为2.08%;B组48例应用低分子肝素钙血栓形成的发生率为6.25%,出血性并发症的发生率为4.17%。结论在髋关节骨折术后中单独应用物理措施预防血栓形成的效果并不比单独应用低分子肝素差。Objective To investigate the safety and effectivity of intermittent low pressure treatment for the prevention of venous thromboembolism after hip fractures. Methods 96 patients scheduled for operation of hip fractures were assigned for A group （prevented the venous thromboembohsm with intermittent low pressure treatment）or B group （prevented the venous throm- boembolism with low-molecular-weight heparin）.Obtained the effects of prevention for venous thromboembolism by comparing A group with B group in the rates of thromboembolism and bleeding. Results The rates of thromboembolism in A group was 8.33% ,the rates of bleeding in A group was 2.08% ,while the rates of thromboembolism in B group was 6.25% ,the rates of bleeding in B group was 4.17%. There was no significantly difference in both the rates of thromboembolism and the ones of bleeding be- tween the A group and B group. Conclusion Preventing the venous thromboembolism with low-molecular-weight heparin is as well as that with intermittent low pressure treatment.

关 键 词：髋部骨折 静脉血栓形成预防 低频气压间断治疗 低分子量肝素 

分 类 号：R687.3[医药卫生—骨科学]