医学综述
醫學綜述
의학종술
Medical Recapitulate
2015年
17期
3166-3168
,共3页
刘旭(综述)%史冬泉%蒋青(审校)
劉旭(綜述)%史鼕泉%蔣青(審校)
류욱(종술)%사동천%장청(심교)
静脉血栓栓塞症%关节置换%血栓预防
靜脈血栓栓塞癥%關節置換%血栓預防
정맥혈전전새증%관절치환%혈전예방
Venous thromboembolism%Arthroplasty%Thromboprophylaxis
静脉血栓栓塞症是关节置换术后的常见并发症,它会显著降低关节置换手术的预期效果。目前预防方法主要有药物预防和机械预防。这两者预防血栓的效果确切,已被许多研究所证实,且研究表明两者联合作用具有更好的预防效果。该文拟对静脉血栓栓塞症各种预防方法的进展及各自的优势与缺陷进行综述,并试图通过患者血栓危险因素的分层介绍如何选择个体化、最优化的血栓预防策略。
靜脈血栓栓塞癥是關節置換術後的常見併髮癥,它會顯著降低關節置換手術的預期效果。目前預防方法主要有藥物預防和機械預防。這兩者預防血栓的效果確切,已被許多研究所證實,且研究錶明兩者聯閤作用具有更好的預防效果。該文擬對靜脈血栓栓塞癥各種預防方法的進展及各自的優勢與缺陷進行綜述,併試圖通過患者血栓危險因素的分層介紹如何選擇箇體化、最優化的血栓預防策略。
정맥혈전전새증시관절치환술후적상견병발증,타회현저강저관절치환수술적예기효과。목전예방방법주요유약물예방화궤계예방。저량자예방혈전적효과학절,이피허다연구소증실,차연구표명량자연합작용구유경호적예방효과。해문의대정맥혈전전새증각충예방방법적진전급각자적우세여결함진행종술,병시도통과환자혈전위험인소적분층개소여하선택개체화、최우화적혈전예방책략。
Thromboembolism, a common complication after arthroplasty, can markedly weaken the efficacy of arthroplasty. At present,the preventive methods consist mainly of chemoprophylaxis and mechani-cal devices,which are demonstrated by many studies to have exact thromboembolism prophylaxis effect and the effect of the combination of the two methods is greater than a single application. Here is to make a review of the advantages,disadvantages and progress of all the preventive methods and to introduce how to select individualized and optimized prevention? strategy by risk stratification.