摘要
目的探讨老年髋部骨折围手术期使用低分子肝素,(LMWH)和间歇气压装置(IPC)预防深静脉血检(DVT)的效果。方法2002年8月至2005年9月对86例髋部骨折患者使用LMWH和IPC预防DVT。其中人工全髋关节置换术34例,髋滑动加压鹅头钉术32例,空心钉固定术20例。术前超声多普勒证实双下肢无DVT,入院后即予以常规使用LMWH或IPC。整个疗程至少14～21天,术后第14天行超声多普勒了解有否DVT。结果86例中有8例患者出现DVT,发生率为11.6%。有症状的DVT3例,无症状的DVT5例。均无肺栓塞症状。结论LMWH或IPC能明显减少老年髋部骨折手术DVT的发生率,对DVT有很好的预防作用。
Objective To explore curtive effect of hip fracture in aged patients through peri-operative period about prevention deep vein thromhas（DVT） to use the low molecular heparin （LMWH） and intermittent pneumatic compression （IPC）. Methods From August, 2002 to September, 2005, 86 examples to used LMWH and IPC prevents DVT. Such as Man-power total eoxa replacement （34 examples）, Dynamic hip screw（32 exampies）, Cannulate screw（20 examples）. Preo-operative Supersonic Doppler confirmed the double lower limb does not have DVT. The patients is hospitalized namely to give the convention to use LMWH or IPC. Entire treatment course at least 14-21 days, past-operative 14th day to use Supemnic Doppler understand whether or not DVT. Results 8 examples patients appear DVT, the formation rate is 11.6%. 3 examples has the symptom of DVT, 5 examples does not have the symptom. Does not have the pulmonary embolism symptom. Conclusions LMWH or 1PC can obviously reduce the DVT formation rate of hip fracture in aged patiems and has the very good prevention function to DVT.
出处
《海南医学》
CAS
2006年第9期31-32,共2页
Hainan Medical Journal
