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妇科疾病盆腔术后深静脉血栓形成高危患者的预防
李晓娟,周勤,魏楠,代旭,刘一萱,刘彤
0
(首都医科大学附属北京潞河医院妇科)
摘要:
【摘要】 目的 探讨妇科疾病盆腔术后深静脉血栓形成(DVT)高危患者的早期干预措施。 方法 选取首都医科大学附属北京潞河医院妇科2018年1月~2019年3月143例盆腔手术深静脉血栓形成高危患者行前瞻性研究,依据排除标准排除3例,脱落5例退出实验,135例患者纳入研究,研究前依据SPSS17.0生成随机数字表,分为IPC组(68例)及IPC +LMWH组(67例),IPC组采用基本预防联合机械预防;IPC+LMWH组在基本预防基础上,抗血栓压力泵(IPC)+低分子肝素(LMWH)联合或序贯应用。比较两组患者术后的凝血指标和深静脉血栓形成(DVT)发生率。 结果 两组患者术前凝血指标比较差异无统计学意义(P>0.05),但术后凝血指标比较差异有统计学意义(P<0.05)。两组患者DVT发生率比较差异有统计学意义(P<0.05)。两组患者不良反应发生率比较差异无统计学意义(P>0.05)。 结论 IPC+LMWH联合或序贯预防妇科疾病盆腔术后深静脉血栓形成高危患者发生率效果显著,可在临床推广应用。
关键词:  妇科疾病盆腔术  围术期  DVT形成  血栓后综合征  预防措施
DOI:
基金项目:北京通州卫生发展科研专项
Prospective randomized controlled study of high risk patients with deep venous thrombosis after pelvic surgery for gynecological diseases
LI Xiaojuan,ZHOU Qin,WEI Nan,DAI Xu,LIU Yixuan,LIU Tong
(Department of Gynecology, Beijing Luhe Hospital Affiliated to Capital Medical University)
Abstract:
【Abstract】 Objective To explore the early intervention measures for patients with high risk of deep vein thrombosis after pelvic surgery. Methods From January 2018 to March 2019, 143 patients with high risk of deep vein thrombosis (DVT) in pelvic surgery were selected from Beijing Luhe Hospital Affiliated to Capital Medical University for prospective study. According to the exclusion criteria, 3 patients were excluded and 5 patients dropped out of the experiment. 135 patients were included in the study. Before the study, according to SPSS17.0, they were randomly divided into IPC group (68 cases) and IPC+LMWH group (67 cases). IPC group used basic prevention combined with mechanical prevention; IPC+LMWH group combined or sequential application of antithrombotic pressure pump (IPC)+low molecular weight heparin (LMWH) on the basis of basic prevention. The coagulation indexes and the incidence of DVT were compared between the two groups. Results There was no significant difference between the two groups (P>0.05), but there was significant difference between the two groups (P<0.05). There was significant difference in DVT incidence between the two groups (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion IPC+LMWH combined or sequential prevention of gynecological diseases pelvic deep vein thrombosis in highrisk patients with significant effect, can be used in clinical promotion.
Key words:  Pelvic surgery for gynecological diseases  Perioperative period  DVT formation  Postthrombotic syndrome  Preventive measures

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