中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (43): 8133-8136.doi: 10.3969/j.issn.1673-8225.2010.43.038

• 骨与关节学术探讨 academic discussion of the bone and joint • 上一篇    下一篇

间歇性充气加压与髋关节置换后下肢深静脉栓塞的预防和治疗

黎  坚   

  1. 海南医学院附属医院骨科，海南省海口市  570102
  • 出版日期:2010-10-22 发布日期:2010-10-22
  • 作者简介:黎坚，女，1974年生，汉族，海南省海口市人，主管技师，1995年海南医学院毕业，主要从事骨科康复研究。 lijiandoctor@126.com

Intermittent pneumatic compression for prevention and treatment of deep venous thrombosis of lower limbs following hip replacement

Li Jian   

  1. Department of Orthopedics, Affiliated Hospital of Hainan Medical University, Haikou  570102, Hainan Province, China
  • Online:2010-10-22 Published:2010-10-22
  • About author:Li Jian, Technician-in-charge, Department of Orthopedics, Affiliated Hospital of Hainan Medical University, Haikou 570102, Hainan Province, China lijiandoctor@126.com

PDF

609

被引次数

20

摘要：

目的：探讨间歇性充气加压治疗的应用特点及髋关节置换后下肢深静脉血栓预防和治疗。
方法：应用万方数据库和中国期刊全文数据库(CNKI)，以“髋关节置换，下肢深静脉血栓，间歇性充气加压，预防，治疗”为关键词，检索1980/2010时限内与间歇性充气加压治疗与髋关节置换后下肢深静脉栓塞的预防和治疗有关的文献。纳入与髋关节置换后下肢深静脉血栓形成因素及深静脉血栓预防措施相关的文献，排除重复研究或较陈旧文章。
结果：依据纳入排除标准共保留相关文献23篇。髋关节置换后下肢深静脉血栓的形成主要与血液高凝状态、静脉血流缓慢、血管内皮损伤以及止痛泵的应用和心理因素等相关。深静脉血栓的好发部位集中在股静脉、腓肠静脉和小腿肌间静脉丛；好发时间则集中在髋关节置换后1~7 d。间歇性充气加压治疗主要通过其机械效应及生物化学效应预防血栓形成。
结论：间歇性充气加压对髋关节置换后的下肢深静脉栓塞的形成具有良好的预防作用，是一种安全、简便的物理疗法，但对高风险患者的治疗效果尚不能肯定，需结合药物行预防治疗，以获得较确切的治疗效果。
　

关键词: 髋关节置换, 下肢, 深静脉血栓, 间歇性充气加压, 预防, 治疗

Abstract:

OBJECTIVE: To investigate the application features of intermittent pneumatic compression and prevention and treatment of deep venous thrombosis of lower limbs following hip replacement.
METHODS: A computer-based online search of Wanfang and CNKI databases was performed for articles related to intermittent pneumatic compression and prevention and treatment of deep venous thrombosis of lower limbs following hip replacement published between 1980 and 2010 with the keywords “hip replacement, deep venous thrombosisof lower limbs, intermittent pneumatic compression, prevention, treatment”. Articles related to causes and prevention measures of deep venous thrombosis of lower limbs were included. Repetitive studies and old articles were excluded. 
RESULTS: A total of 23 articles were included. The formation of deep venous thrombosis of lower limbs following hip replacement mainly relate to blood hypercoagulabale state, slow venous blood flow, blood vessel endothelium injury, analgesic pump application and psychological factors. The deep venous thrombosis frequently occurs at femoral vein, sural veins and leg intermuscular venous plexus at 1-7 days post hip replacement. Intermittent pneumatic compression treatment prevents thrombosis through the mechanical effect and biochemical effect.
CONCLUSION: Intermittent pneumatic compression exhibits favorable prevention of deep venous thrombosis of the lower limbs following hip replacement. It is a safe and simple physical therapy. However, the effect in patients with high risks remains unclear, which requires the combination with drugs to obtain precise treatment effects.

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