CAJ | 학술논문

目的：观察老年髋关节周围骨折围术期使用低分子肝素预防下肢深静脉血栓的效果。方法：将2007年7月至2011年7月的105例老年髋关节周围骨折的患者分为低分子肝素组（65例）和常规治疗组（40例），常规治疗组和低分子肝素组都行物理疗法预防下肢静脉血栓，低分子肝素组加用低分子肝素预防。比较两组患者下肢静脉血栓形成的情况和凝血相关指标的状态。结果低分子肝素组发生血栓事件的患者有4例（6．15％）。常规治疗组形成血栓的患者有13例（32．5％）。两组比较，差异有统计学意义（P＜0．05）。术后1、10 d的血红蛋白改善明显，差异有统计学意义（P＜0．05）。结论：对老年髋关节周围骨折的患者采用低分子肝素预防下肢深静脉血栓形成疗效十分理想。
목적：관찰노년관관절주위골절위술기사용저분자간소예방하지심정맥혈전적효과。방법：장2007년7월지2011년7월적105례노년관관절주위골절적환자분위저분자간소조（65례）화상규치료조（40례），상규치료조화저분자간소조도행물리요법예방하지정맥혈전，저분자간소조가용저분자간소예방。비교량조환자하지정맥혈전형성적정황화응혈상관지표적상태。결과저분자간소조발생혈전사건적환자유4례（6．15％）。상규치료조형성혈전적환자유13례（32．5％）。량조비교，차이유통계학의의（P＜0．05）。술후1、10 d적혈홍단백개선명현，차이유통계학의의（P＜0．05）。결론：대노년관관절주위골절적환자채용저분자간소예방하지심정맥혈전형성료효십분이상。
Objective Toobservetheeffectofperioperativeuseoflowmolecularheparin(LMH)forpreventinglowerlimbdeep vein thrombosis(DVT ) in elderly hip peripheral fracture .Methods 105 cases of elderly hip peripheral fracture from July 2007 to July 2011 were divided into the LMH group(65 cases) and the conventional treatment group(40 cases) .The two groups were per-formed the physical therapy for preventing lower limb DVT .The LM H group was added with LM H for preventing DVT .The sta-tuses of DVT occurrence and the coagulation related indicators were compared between the two groups .Results In the LM H group ,the thrombus events happened in 4 cases ,accounting for 6 .15% .In the conventional treatment group ,thrombosis occurred in 13 cases ,accounting for 32 .5% .The difference between the two groups had statistical significance (P<0 .05) .Hemoglobin on post-operative 1 ,10 d was obviously improved ,the difference had statistical significance(P<0 .05) .Conclusion Using LMH has rela-tively ideal effect for preventing lower limb DVT in elderly hip peripheral fracture .