抗血栓泵在预防颅脑外科患者下肢深静脉血栓形成中的应用研究  

Application of Antithrombotic Pump in the Prevention of Lower Extremity Deep Venous Thrombosis in Patients Undergoing Craniocerebral Surgery

作　　者：刘纯会 LIU Chun-hui(General Surgery,Tianjin Wuqing District Second People’s Hospital,Tianjin 301700)

机构地区：[1]天津市武清区第二人民医院普外科,天津301700

出　　处：《中国医疗器械信息》2022年第8期141-143,共3页China Medical Device Information

摘　　要：目的:研究抗血栓泵在预防颅脑外科患者下肢深静脉血栓中的应用效果。方法:选取天津市武清区第二人民医院普外科于2018年1月~2020年12月收治的68例外科手术患者,随机分为观察组和对照组,各34例;给予对照组常规治疗措施,观察组在对照组基础上加用抗血栓泵,比较两组患者的凝血指标、深静脉血栓发生率、卧床时间和住院时间。结果:经干预后,观察组的PT、APTT和TT指标均明显高于对照组,差异有统计学意义(P<0.05),观察组的FIB、D2D水平低于对照组,差异有统计学意义(P<0.05);观察组的DVT发生率为2.94%,低于对照组的11.76%,差异有统计学意义(P<0.05);观察组的卧床时间为(7.47±1.37)d,短于对照组的(9.82±1.72)d,差异有统计学意义(P<0.05)。观察组的住院时间为(15.12±3.12)d,短于对照组的(18.85±3.63)d,差异有统计学意义(P<0.05)。结论:抗血栓泵在预防外科患者下肢深静脉血栓形成方面,能够有效改善患者下肢血流状况,降低相关凝血指标,从而达到有效降低DVT发生的几率。Objective:To study the application effect of antithrombotic pump in the prevention of lower extremity deep venous thrombosis in patients with craniocerebral surgery.Methods:68 patients with craniocerebral surgery acceptted in general surgery of Tianjin Wuqing District Second People’s Hospital from January 2018 to December 2020 were randomly divided into observation group and control group,34 cases in each group;The control group was given conventional treatment,and the observation group was given antithrombotic pump on the basis of the control group.The coagulation indexes,the incidence of deep venous thrombosis,bed stay time and hospital stay time were compared between the two groups.Results:After intervention,the indexes of PT,APTT and TT in the observation group were significantly higher than those in the control group,the difference was statistically significant(P<0.05).the levels of FIB and D2D in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).The incidence of DVT in the observation group was 2.94%,lower than 11.76%in the control group,the difference was statistically significant(P<0.05).The out of bed time of the observation group was(7.47±1.37)d,which was shorter than that of the control group(9.82±1.72)d,and the difference was statistically significant(P<0.05).The hospitalization time of the observation group was(15.12±3.12)d,which was shorter than that of the control group(18.85±3.63)d,and the difference was statistically significant(P<0.05).Conclusion:Antithrombotic pump in the prevention of surgical patients with lower extremity deep venous thrombosis,can effectively improve the blood flow of patients with lower extremity,reduce the related coagulation index,so as to effectively reduce the probability of DVT.

关 键 词：抗血栓泵 深静脉血栓 预防 血凝指标 

分 类 号：R651.1[医药卫生—外科学]