中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
27期
30-32
,共3页
下腔静脉滤器%深静脉血栓%肺栓塞%华法林%肝素
下腔靜脈濾器%深靜脈血栓%肺栓塞%華法林%肝素
하강정맥려기%심정맥혈전%폐전새%화법림%간소
Inferior vena cava filter%Deep vein thrombosis%Pulmonary embolism%Warfarin%Heparin
目的：探讨下腔静脉滤器植入手术对骨折后下肢深静脉血栓形成患者肺栓塞的预防作用。方法选取2014年4月~2015年1月在本院治疗的67例骨折后下肢深静脉血栓形成患者作为研究对象，随机分为对照组（36例）和实验组（31例）。对照组采用肝素、华法林治疗，实验组植入下腔静脉滤器并结合肝素、华法林治疗，比较两组的效果。结果两组治疗前与治疗后的血小板计数、血红蛋白、血细胞比容、丙氨酸氨基转移酶、血浆肌酐水平以及APTT比较，差异无统计学意义（P>0.05）。两组的治愈率比较，差异无统计学意义（P>0.05）。两组的的水肿发生率比较，差异无统计学意义（P>0.05）。实验组的肺栓塞发生率显著低于对照组，差异有统计学意义（P<0.05）。两组均未出现死亡病例。结论下腔静脉滤器植入术对骨折后下肢深静脉血栓形成患者肺栓塞的预防能够起到一定作用。
目的：探討下腔靜脈濾器植入手術對骨摺後下肢深靜脈血栓形成患者肺栓塞的預防作用。方法選取2014年4月~2015年1月在本院治療的67例骨摺後下肢深靜脈血栓形成患者作為研究對象，隨機分為對照組（36例）和實驗組（31例）。對照組採用肝素、華法林治療，實驗組植入下腔靜脈濾器併結閤肝素、華法林治療，比較兩組的效果。結果兩組治療前與治療後的血小闆計數、血紅蛋白、血細胞比容、丙氨痠氨基轉移酶、血漿肌酐水平以及APTT比較，差異無統計學意義（P>0.05）。兩組的治愈率比較，差異無統計學意義（P>0.05）。兩組的的水腫髮生率比較，差異無統計學意義（P>0.05）。實驗組的肺栓塞髮生率顯著低于對照組，差異有統計學意義（P<0.05）。兩組均未齣現死亡病例。結論下腔靜脈濾器植入術對骨摺後下肢深靜脈血栓形成患者肺栓塞的預防能夠起到一定作用。
목적：탐토하강정맥려기식입수술대골절후하지심정맥혈전형성환자폐전새적예방작용。방법선취2014년4월~2015년1월재본원치료적67례골절후하지심정맥혈전형성환자작위연구대상，수궤분위대조조（36례）화실험조（31례）。대조조채용간소、화법림치료，실험조식입하강정맥려기병결합간소、화법림치료，비교량조적효과。결과량조치료전여치료후적혈소판계수、혈홍단백、혈세포비용、병안산안기전이매、혈장기항수평이급APTT비교，차이무통계학의의（P>0.05）。량조적치유솔비교，차이무통계학의의（P>0.05）。량조적적수종발생솔비교，차이무통계학의의（P>0.05）。실험조적폐전새발생솔현저저우대조조，차이유통계학의의（P<0.05）。량조균미출현사망병례。결론하강정맥려기식입술대골절후하지심정맥혈전형성환자폐전새적예방능구기도일정작용。
Objective To explore the preventive effect of inferior vena cava filter implantation surgery on pulmonary embolism in patients with lower limb deep venous thrombosis after fracture. Methods 67 cases with lower extremity deep venous thrombosis after fracture from April 2014 to January 2015 in our hospital were selected and randomly di-vided into the control group (36 cases) and the experimental group (31 cases).The control group was given heparin and warfarin,the experimental group was given implantation of inferior vena cava filter combined with heparin and warfarin. The effect in two groups was compared. Results There was no significant difference before treatment and after treatment in the level of platelet count,hemoglobin,blood cell volume,alanine aminotransferase,plasma creatinine and APTT be-tween two groups (P>0.05).There was no significant difference in the cure rate between two groups (P>0.05).There was no significant difference in the incidence rate of edema between two groups (P>0.05).The incidence rate of pulmonary embolism in the experimental group was lower than that in the control group,with significant difference (P<0.05).There was no patients died in two groups. Conclusion Inferior vena cava filter implantation surgery can play a certain action in prevention pulmonary embolism in patients with lower limb deep venous thrombosis after fracture.
