骨科高龄患者围手术期抗凝治疗的临床观察(附248例分析)  

A Clinical Explore on Orthopaedics Elder Patient Treated with Anticoagulation before and after Ooperation(A Analysis of 248 Cases)

作　　者：胡金明[1] 张辉[1] 阎保平[1] 杜云峰[1] 李俊成[1] 

机构地区：[1]焦作矿务局中央医院二分院骨科,河南焦作454171

出　　处：《实用骨科杂志》2001年第2期95-97,共3页Journal of Practical Orthopaedics

摘　　要：目的 :观察骨科高龄患者围手术期抗凝治疗的效果。方法 :设立对照组 (2 36例 )和试验组 (2 48) ,对照组围手术期行止血治疗 ;试验组围手术期以潘生丁、阿司匹林、复方丹参片、复方丹参针行抗凝治疗。结果 :对照组有 2 4例发生心肌梗塞、脑梗塞、下肢静脉栓塞 ,发生率为 10 .2 % ,而试验组发生 6例 ,发生率为 2 .4% ,经卡方检验 X2 =12 .49,P<0 .0 1,显示有非常显著差异。结论 :骨科高龄患者围手术期抗凝治疗可以降低心肌梗塞、脑梗塞。Objective:To explore the effect of the treatment with anticoagulation before and after operation on the orthopaedics elder patient Methods The control group(236 patients) and the treated group(248 patients) were founded.The control group was treated with the drug which functiom is stopping fleeding,such as vitk4,EACA reptilase.The treated group was treated with the drug which function is anticoagulation,such as aspirin,persantin,Tab.co.Danshen,Inj.co.Danshen.Results The control group had 24 patients who were complicatedby one of the cerebral infarction,myocardial infarction,lower limbs vein infarction,the occuring rate is 10.2%.Though it is 2.4% in the treated group.There was significant difference between the two groups. ( P <0.01) Conclusions:The complicaion of cerebral infarction,myocardial infarction and lower limbs vein infarction can be decreased if the orthopaedics elder patient was treated with the therapy of anticoagulation before and after operation.

关 键 词：骨科高龄患者 围手术期 抗凝疗法 病例分析 心肌梗塞 预防 

分 类 号：R687[医药卫生—骨科学] R453[医药卫生—外科学]