| 王立群,张红英,宁宁,等.瞬时脉冲足底静脉泵在髋膝关节置换术后预防深静脉血栓形成的应用研究.骨科,2022,13(5): 441-446. |
| 瞬时脉冲足底静脉泵在髋膝关节置换术后预防深静脉血栓形成的应用研究 |
| Application of Transient Pulse Plantar Venous Pump in the Prevention of Deep Venous Thrombosis after Hip and Knee Arthroplasty |
| 投稿时间：2022-03-15 |
| DOI：10.3969/j.issn.1674-8573.2022.05.012 |
| 中文关键词: 足底静脉泵 间歇充气加压装置 关节置换术 深静脉血栓 瞬时脉冲 |
| 英文关键词: Plantar venous pump Intermittent pneumatic compression device Joint replacement Deep vein thrombosis Transient pulse |
| 基金项目:四川省科技厅重点研发项目（2021YFS0068）；四川大学华西医院学科卓越发展1·3·5工程护理学科发展专项基金（HXHL20003） |
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| 中文摘要: |
| 目的 探讨瞬时脉冲足底静脉泵预防全髋/膝关节置换术后深静脉血栓形成（DVT）的效果，为临床医护人员选择最优的机械预防方式提供参考依据。方法 选取2019年11月至2020年8月在我院关节外科拟行全髋/膝关节置换术的病人210例，随机分为观察组（105例）和对照组（105例）；术后，观察组和对照组分别使用瞬时脉冲足底静脉泵和间歇性充气加压装置预防DVT。观察比较两组病人术后DVT的发生率、术后D-二聚体、C-反应蛋白、白细胞介素-6和患肢肿胀情况，住院时间和使用机械设备预防DVT的舒适度。结果 术后2周，观察组DVT总发生率为6.67%，对照组为9.52%，两组比较，差异无统计学意义（P＞0.05）；观察组病人机械设备使用的舒适度高于对照组，差异有统计学意义（P＜0.05）。结论 瞬时脉冲足底静脉泵可有效预防全髋/膝关节置换术后DVT，且舒适度高于间歇充气加压装置，预防DVT的时间成本低，值得临床推广。 |
| 英文摘要: |
| Objective To explore the effect of transient pulse plantar venous pump in preventing deep vein thrombosis after total hip/knee arthroplasty, and to provide reference for clinical medical staff to choose the optimal mechanical prevention method. Methods A total of 210 patients who underwent total hip/knee arthroplasty in the joint surgery department of a tertiary hospital in Sichuan Province from November 2019 to August 2020 were enrolled and randomly divided into the experimental group (105 cases) and the control group (105 cases). The experimental group was given transient pulse plantar venous pump on the basis of routine surgery. The control group was subjected to intermittent pneumatic compression device. The incidence of deep vein thrombosis, postoperative D-dimer, C-reactive protein, interleukin-6, swelling of the affected limb, hospitalization time and the comfort evaluation of mechanical prevention equipment were compared between the two groups of patients. Results The total incidence of deep vein thrombosis was 6.67% in the observation group and 9.52% in the control group two weeks after operation. There was no significant difference between the two groups (P＞0.05). The comfort evaluation of mechanical prevention equipment in the observation group was higher than that in the control group, with a statistically significant difference (P＜0.05). Conclusion Instantaneous pulse plantar venous pump can effectively prevent deep venous thrombosis after total hip/knee arthroplasty, reduce its incidence, and its comfort is higher than that of intermittent pneumatic compression device. The time cost of DVT prevention is low, which is worthy of clinical promotion. |
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