足底静脉泵预防脊柱创伤术后DVT的有效性评价

J4 ›› 2013, Vol. 12 ›› Issue (9): 59-61.

足底静脉泵预防脊柱创伤术后DVT的有效性评价

大理学院附属医院，云南大理 671000

收稿日期:2013-01-22 修回日期:2013-05-08 出版日期:2013-09-15 发布日期:2013-09-15

Efficient Evaluation of Sole Vein Pump in the Prevention of Deep Vein Thrombosis after Spinal Surgery

Affiliated Hospital of Dali University, Dali, Yunnan 671000, China

Received:2013-01-22 Revised:2013-05-08 Online:2013-09-15 Published:2013-09-15
About author:赵宇，主治医师，主要从事骨科、脊柱创伤及退变研究.

摘要/Abstract

摘要：

目的：探讨足底静脉泵在预防脊柱创伤术后深静脉血栓形成的有效性和安全性。方法：将2011年6月至2012年7月收治的
脊柱损伤患者86例，随机分为观察组和对照组，每组各43例。术后均给予常规药物预防和护理干预，观察组在此基础上增加给予足底静脉泵物理干预。分别于术前和术后7 d行下肢彩色多普勒超声检查，比较两组患者DVT发生率、下肢肿胀和D-二聚体含量。结果：术后7 d，两组患者下肢肿胀明显缓解，其中观察组下肢周径差值仅为（1.3±0.3）cm，显著小于对照组（P<0.05），且D-二聚体含量呈下降趋势，仅为（0.6±0.1）ng/L，显著低于对照组（P<0.01）。两组患者术后7 d深静脉血栓发生率分别为2.3%和18.6%，观察组较低（P<0.05），两组在治疗过程中均未出现明显的不良反应。结论：足底静脉泵在预防脊柱创伤术后深静脉血栓形成中具有较好的临床效果，且能够安全、够快速缓解腿部肿胀，值得临床推广。

关键词: 脊柱, 外科学, 足底静脉泵, 深静脉血栓, 预防

Abstract:

Objective: To investigate the efficiency and safety of sole vein pump in the prevention of deep vein thrombosis（DVT）
after spinal surgery. Methods: Eighty-six patients with spinal injury were randomly divided into 2 groups and 43 patients for each group, patients in control group were given common drug and nursing care preventions, others in the observation group were given physical therapy by sole vein pump beside common treatment. DVT was diagnosed by lower extremity color Doppler ultrasound before and 7 days after surgery, and the indexes of DVT incidence, leg swelling and D-dimer were evaluated. Results: After 7 days treatment, leg swelling in both 2 groups eased; in observation group, the lower limb circumference changed at （1.3±0.3）cm and amount of D-dimer decreased（0.6±0.1）ng/L, which were both lower than that in the control group （P<0.05）, and the incidence of DVT of 2 groups was 2.3%（observation group）and 18.6%（control group）（P<0.05）, and there were no complication in two groups. Conclusion: Sole vein pump could safely and fast ease the swelling of leg, which showed good efficiency in the prevention of deep vein thrombosis after spinal surgery, it is worthy of clinical promotion.

Key words: spinal, surgery, sole vein pump, deep vein thrombosis, prevention

中图分类号:

R683.2

赵宇, 李绍波, 杨开舜. 足底静脉泵预防脊柱创伤术后DVT的有效性评价[J]. J4, 2013, 12(9): 59-61.

ZHAO Yu, LI Shao-Bo, YANG Kai-Shun. Efficient Evaluation of Sole Vein Pump in the Prevention of Deep Vein Thrombosis after Spinal Surgery[J]. J4, 2013, 12(9): 59-61.

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[6]	陈黎，张志鹏. 医护一体化模式降低脊柱患者深静脉血栓发生率效果研究[J]. J4, 2015, 14(8): 65-69.
[7]	刘平华，李婷婷. 呼吸机相关性肺炎的诊断治疗进展[J]. J4, 2015, 14(10): 60-64.
[8]	申元英. 转化医学：现代医学发展的必然趋势[J]. J4, 2014, 13(8): 49-51.
[9]	杨弋星, 张态, 何作顺. 大理学院预防医学专业本科毕业论文中存在的问题与对策[J]. J4, 2014, 13(2): 89-92.
[10]	董玉福. 学生运动性猝死频发的原因及预防对策探析[J]. J4, 2013, 12(3): 26-30.
[11]	李艳君. 未成年人抢劫犯罪略论——从一次庭审说起[J]. J4, 2013, 12(1): 60-63.
[12]	季守莲, 宋正蕊, 陈红云. 预防医学专业学生实践技能培养模式探讨[J]. J4, 2012, 11(12): 39-40.
[13]	董应仙. 高龄病人髋部骨折后深静脉血栓的干预[J]. J4, 2011, 10(8): 52-53.
[14]	. 我院I类切口手术预防性应用抗菌药物调查[J]. J4, 2011, 10(6): 61-63.
[15]	赵建莲, 段振涛, 杨朝振. 子宫全切除术后膀胱阴道瘘修补38例临床分析[J]. J4, 2010, 9(2): 61-62.