摘要
目的使用低分子肝素钙与弹力绷带对髋关节置换术后患者进行康复治疗,探究其对预防深静脉血栓形成(DVT)的作用。方法在我院选取从2017年1月至2019年12月接受诊治的86例髋关节置换术患者为本次研究对象。根据随机抛硬币法分为观察组与对照组,每组各43例患者。对照组采用常规康复治疗,观察组在此基础上采用低分子肝素钙联合弹力绷带。对比两组患者治疗8周后DVT发生情况,对比两组患者治疗前及治疗8周后下肢周径、深静脉血流速度、髋关节功能评分量表(Harris)及生活质量指数(QOL)评分。结果观察组DVT总发生率为4.65%,低于对照组的18.60%(P<0.05);治疗前两组患者下肢周径、深静脉血流速度比较无显著差异(P>0.05),治疗后观察组下肢周径小于对照组,深静脉血流速度快于对照组(P<0.05);治疗前两患者Harris、QOL评分比较无显著差异(P>0.05),治疗后观察组Harris、QOL评分均高于对照组(P<0.05)。结论低分子肝素钙联合弹力绷带对髋关节置换术患者进行康复治疗,可降低DVT的发生率,改善深静脉血液动力学,提高髋关节功能与生活质量。
Objective To perform rehabilitation therapy with low-molecular-weight heparin calcium and elastic bandage on patients after hip replacement,and to explore its effect on the prevention of deep venous thrombosis(DVT).Methods Totally 86 patients undergoing hip replacement who were diagnosed and treated in our hospital from January 2017 to December 2019 were selected as the subjects of this study.According to the random coin tossing method,the patients were divided into observation group and control group,with 43 cases in each group.Control group was treated with conventional rehabilitation,and observation group was treated with low-molecular-weight heparin calcium combined with elastic bandage on this basis.The occurrence of DVT after 8 weeks of treatment and lower limb circumference,deep venous blood flow velocity,hip joint function score scale(Harris)and quality of life(QOL)score before treatment and after 8 weeks of treatment were compared between the two groups of patients.Results The total incidence rate of DVT of 4.65%in observation group was lower than 18.60%in control group(P<0.05).Before treatment,there were no statistically significant differences in the lower limb circumference and deep venous blood flow velocity between the two groups(P>0.05).After treatment,the lower limb circumference was shorter in observation group than that in control group,and the deep venous blood flow velocity was faster than that in control group(P<0.05).There were no significant differences in the Harris score and QOL score between the two groups before treatment(P>0.05),and the Harris score and QOL score in observation group after treatment were higher compared with those in control group(P<0.05).Conclusion Low-molecular-weight heparin calcium combined with elastic bandage for rehabilitation therapy of patients undergoing hip replacement can reduce the incidence rate of DVT,improve the deep venous hemodynamics,and enhance the hip function and quality of life.
作者
李沛
井艳
刘振洁
LI Pei;JING Yan;LIU Zhen-jie(Second Department of Orthopedics,Luoyang Central Hospital Affiliated to Zhengzhou University,Luoyang 471000,Henan Province,China)
出处
《罕少疾病杂志》
2022年第5期86-87,112,共3页
Journal of Rare and Uncommon Diseases
关键词
低分子肝素钙
弹力绷带
髋关节置换术
DVT
Low-Molecular-Weight Heparin Calcium
Elastic Bandage
Hip Replacement
DVT
