CAJ | 학술논문

目的探讨序贯加压袜(GCS)与低分子肝素(LMWH)预防措施对妇科盆腔术后下肢深静脉血栓形成中高危患者的影响和作用；方法前瞻性随机对照研究164例有血栓中高危险因素的妇科术后患者，随机分成两组后分别使用GCS、GCS+LMWH预防措施，记录患者手术前后血栓相关指标变化、术后下肢血栓、肺栓塞发生率及相关因素；结果 GCS组DVT发生率12.8%(11/86)，PE发生率8.1%(7/86)， GCS+LMWH组DVT发生率3.8%(3/78)，PE发生率1.3%(1/78)；结论GCS+LMWH组预防下肢深静脉血栓及肺栓塞的效果均优于GCS组，两组之间差异有统计学意义(<005)。
목적탐토서관가압말(GCS)여저분자간소(LMWH)예방조시대부과분강술후하지심정맥혈전형성중고위환자적영향화작용；방법전첨성수궤대조연구164례유혈전중고위험인소적부과술후환자，수궤분성량조후분별사용GCS、GCS+LMWH예방조시，기록환자수술전후혈전상관지표변화、술후하지혈전、폐전새발생솔급상관인소；결과 GCS조DVT발생솔12.8%(11/86)，PE발생솔8.1%(7/86)， GCS+LMWH조DVT발생솔3.8%(3/78)，PE발생솔1.3%(1/78)；결론GCS+LMWH조예방하지심정맥혈전급폐전새적효과균우우GCS조，량조지간차이유통계학의의(<005)。
Objective To investigate the ef ect of lower extremity deep venous thrombosis prophylactics by two preventive methods in DVT high risk patients after gynecological pelvic surgery.Methods This propective randomized study consisted of 164 postoperative patients who were randomly assigned to two groups with high risk of DVT,GCS,GCS+LMWH were used as prophylactics for DVT,and the records of morbidity of DVT,PE and index related thrombosis both pre-operation and post-operation were analyzed.Results The morbidity of DVT in GCS group was 12.8%,the morbidity of PE was 8.1%,the morbidity of DVT in GCS+LMWH group was 3.8%, the morbidity of PE was 1.3%.Conclusion The ef ects of prophylaxis of DVT,PE in GCS+LMWH group was more effective than that in GCS group,there were significant statistical dif erences between the two groups( <005).