间歇式压力充气泵对膝关节置换术患者深静脉血栓形成的预防效果  

The prevention effect of intermittent pneumatic compression pump on venous thrombosis in patients undergoing knee joint replacement

作　　者：边红丽[1] 迟迅[1] 孙晶[1] 安宁[1] 田丰德[1] 

机构地区：[1]大连大学附属中山医院骨外二科,辽宁大连116001

出　　处：《实用临床医药杂志》2017年第4期92-94,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨间歇式压力充气泵对膝关节置换术患者深静脉血栓(DVT)形成的预防效果。方法选取318例膝关节置换术患者为研究对象,其中108例采用常规护理,设为对照组,另210例在常规护理基础上采用间歇式充气压力泵,设为观察组。比较2组Hb、PLT、D-D的变化以及DVT发生情况。结果观察组置换术后6 d的PLT低于对照组,D-D低于对照组,差异有统计学意义(P<0.05)。观察组术后6 d的下肢静脉流速大于对照组,DVT检出率低于对照组,DVT直径小于对照组,差异有统计学意义(P<0.05)。结论间歇式充气压力泵能够降低膝关节置换术后的PLT和D-D,减少DVT的发生。Objective To investigate the prevention effect of intermittent pneumatic compression pump on DVT in patients undergoing knee joint replacement. Methods A total of 318 patients with knee joint replacement in our hospital were selected as study objects,and 108 cases with routine nursing were as control group,and 210 cases with intermittent pneumatic compression were as observation group. The changes of D-D,PLT and Hb,and DVT of two groups were compared. Results PLT and D-D after 6 d of the operation in the observation group was lower than that in the control group,the difference was statistically significant（ P〈 0. 05）. Venous velocity of lower limb after6 d of operation in the observation group was quicker than that in the control group,the detection rate of DVT was lower than that in the control group,DVT diameter was less than that in the control group,the differences were statistically significant（ P〈 0. 05）. Conclusion Intermittent pneumatic compression pump can reduce PLT,D-D and the incidence of DVT after knee replacement.

关 键 词：间歇式充气压力泵 膝关节置换术 深静脉血栓 预防 

分 类 号：R473.6[医药卫生—护理学]