间歇充气压缩泵预防下肢深静脉血栓形成的疗效观察.pdfVIP

6 现代临床护理(Modem Clinical Nu时ng)2∞9.8(5) ·专科研究· 间歇充气压缩泵预防下肢深静脉血栓形成的疗效观察* .l.梅香 (韶关市第…人民医院骨科，广东韶关，512∞0) 摘要 目的 观察运用间歇充气压缩策对预防和减少髓部骨折术后患者下肢探静脉血栓(deep vein thro础。脚， DVT) 形成的疗效。方法 将 120 例患者随机分为茹验姐和对照组，每组各 60 例。对照组术后 DVT 预防方案为低分子肝索，实 验组术后 D川、预防方案为间歇充气压缩策。结果 术尉第 7 d 经路也多普勒姐声检查，实验组有3 例揽生 DVT，发生率 为 5.0% ，而对照组有5 例发生DVT，发生率为 8.31.)岛，经 t检验，两组 DVT 发生率差异没有统计学意义(P 0.05) 。两组未发 生 DVT 患者血流速度比较，差异具有统计学意义，其中实验组血流速度大于对照组(P 0.05) 。结论 与常规应用肝素相 比，愤部骨折患者术后运用间歇充气压缩泵同样可以有效预防和减少 DVT，而且被方法使用简单，患者感觉较舒适，具有临 床推广意义。 [关键词] 间歇克气压缩亵;下肢部静脉血栓;髓部骨折;低分子肝囊 [中阻分类号] R473.6 [文献标识明] A [文章编号] 1671-8283(2创)9)0ια)(}6-03 [Abstract] ObJective To observe the effect of intennittent pnewnatic compression pump on prevention and reduction of deep vein thrombωis (DVT) after the operation of hip fracture. 如feth叫s A 10凶。f 120 patienωwere randomly divided inω the experiment 伊up and theωn100l group , 的出 ωpatients in each group. P附ention pro阴m low molecular weí阱t heparin W臼 used ωprevent DVT in theωn100l 伊Oup and Întennittent pnewnatic comp陀锵ion pump was used in 也e experiment group. Rωults On the 7th day after the surgery , the color Doppler ultI百sound examination showed that DVT was found in 3 patients 切 the experiment 阴up (5%); DVT Wiωfound in 5 patients in contIOl 仰up (8.3%). f test showed the diffe陀阳刚刚 si胆监cant (P 0.05). 1n patients wi山out DVT , bl00d f10w rate in patients of the experiment group was fi幽ter 由四由at in patients of the con1ool group. The difference was significant (P 0.05). Conclusio皿Like low molecular weight heparin , intermittent pneumatic compre邸íon pumps can effectively prevent and reduce DVT after hip fracture. Moreover , it is simple and patients feel com如此able ， 80 it is worth generalizing in clinical practice. [Key wor