摘要
目的探讨早期肢体活动联合间歇压力充气泵(IPCD)预防老年骨科大手术后深静脉血栓(DVT)的效果。方法选取2018年1—12月普宁市人民医院接收的96例人工全髋关节置换(THA)、人工全膝关节置换(TKA)及髋部骨折手术(HFS)患者为对照组;2019年1—12月接收的103例THA、TKA及HFS手术患者为研究组。对照组实施常规护理,研究组在对照组的基础上实施IPCD预防DVT。比较两组术后的DVT发生率及抗凝药物应用率。结果研究组术后3及7 d的DVT发生率低于对照组,差异有统计学意义(P<0.05)。研究组术后3、5及10 d的抗凝药物应用率低于对照组,差异均有统计学意义(P<0.05)。结论早期肢体活动联合IPCD可有效降低老年骨科大手术后DVT发生率,减少抗凝药物应用率,值得应用。
Objective To explore the effect of early limb movement combined with intermittent pneumatic compression devices(IPCD)to prevent deep vein thrombosis(DVT)after major orthopedic surgery in the elderly.Methods A total of 96 cases of total hip arthroplasty(THA),total knee arthroplasty(TKA)and hip fractures surgery(HFS)patients accepted from the People′s Hospital of Puning City,Guangdong Province from January to December 2018 were selected as the control group.103 cases of THA,TKA and HFS patients accepted from the People′s Hospital of Puning City,Guangdong Province from January to December 2019 were selected as the study group.The control group was given routine nursing,and the study group was implemented early limb exercises combined with IPCD on the basis of the control group to prevent DVT.The incidence of DVT and the application rate of anticoagulant drugs were compared between the two groups.Results The incidence of DVT of the study group at the 3 and the 7th days after operation were lower than those of the control group,and the differences were statistically significant(P<0.05).The application rates of anticoagulant drugs of the study group at the 3,5 and the 10th days after operation were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Early limb movement combined with IPCD can effectively reduce the incidence of DVT after major orthopedic surgery in the elderly and reduce the application rate of anticoagulant drugs.It is worth applying.
作者
林文慧
张秀贤
黄爱虹
LIN Wen-hui;ZHANG Xiu-xian;HUANG Ai-hong(Departmentof Orthopedics,the People′s Hospital of Puning City,Guangdong Province,Puning,515300,China)
出处
《中国当代医药》
CAS
2021年第20期274-276,F0003,共4页
China Modern Medicine
关键词
早期肢体活动
间歇压力充气泵
老年
骨科大手术
深静脉血栓
Early limb activity
Intermittent pneumatic compression devices
Elderly
Major orthopedic surgery
Deep vein thrombosis
