围术期压力泵治疗仪联合利伐沙班在骨科创伤术后并发下肢深静脉血栓中作用.docVIP

围术期压力泵治疗仪联合利伐沙班在骨科创伤术后并发下肢深静脉血栓中作用 　　【摘要】 目的：探讨围术期压力泵治疗仪联合利伐沙班在骨科创伤术后并发下肢深静脉血栓中的作用。方法：选取本院2013年1月-2014年1月择期行骨科创伤术患者78例，根据围术期不同的处理方式将其分为观察组40例和对照组38例，其中观察组术前术后使用压力泵治疗仪，术后联合应用利伐沙班；对照组术后应用压力泵治疗仪联合利伐沙班，比较两组患者DVT发生及静脉栓子检出情况。结果：两组患者术前均未发生DVT和静脉栓子，DVT发生率和静脉栓子检出率比较差异均无统计学意义（P0.05），观察组术后21 d的DVT发生率和静脉栓子检出率分别为2.50%和5.00%，均明显低于对照组的21.05%和26.32%，比较差异均有统计学意义（P0.05）。结论：术前预防性应用压力泵治疗仪和术后压力泵治疗仪联合利伐沙班在预防骨科创伤术后并发下肢深静脉血栓中的作用明显，值得临床推广使用。 　　【关键词】 围术期； 压力泵； 利伐沙班； 骨科创伤； 下肢深静脉血栓 　　【Abstract】 Objective：To investigate the effect of peri-operative pressure pump therapy combined with Rivaroxaban on deep venous thrombosis after orthopedics trauma operation.Method：78 patients with orthopedics trauma operation admitted to our hospital from January 2013 to January 2014 were selected，according to different peri-operative treatment，all patients were divided into the observation group for 40 cases and the control group 38 cases，the observation group was given pressure pump therapy before and after operative and combined with Rivaroxaban after operative，while the control group was given pressure pump therapy combined with Rivaroxaban after operative.The occurrence of DVT and venous emboli detection between the two groups were compared.Result：Before operation，there were no statistically significant differences in the DVT incidence and venous emboli detection rate between two groups（P0.05）.After operation for 21 days，the DVT occurrence rate and venous emboli detection rate of observation group were 2.50% and 5.00%，which were significantly lower than 21.05% and 26.32% of the control group，the differences were statistically significant（P0.05）.Conclusion：The effect of preoperative prophylactic application of pressure pump therapy and postoperative pressure pump therapy combined with Rivaroxaban on preventing deep venous thrombosis after orthopedics trauma operation is obvious，it is worthy of clinical use. 　　【Key words】 Peri-operative； Pressure pump； Rivaroxaban； Orthopedics trauma； Deep venous thrombos