Comprehensive prevention of deep vein thrombosis after total hip replacement

doi:10.3969/j.issn.2095-4344.2015.17.004

Abstract

Abstract:

BACKGROUND: A high incidence of deep vein thrombosis after total hip replacement does great harm to patients, so it is necessary to look for a safe and effective prevention program after total hip replacement to reduce the harm of deep vein thrombosis.

OBJECTIVE: To observe the influence of comprehensive prevention scheme on deep vein thrombosis after total hip replacement.

METHODS: 102 cases undergoing total hip replacement were randomly divided into observation group and control group with 51 cases in each group. Patients in the observation group received the comprehensive prevention program, which is composed of three interventions: sequential cross combined with low molecular heparin, intermittent pneumatic pressure therapy and continuous femoral nerve block analgesia. In the control group, patients received low-molecular-weight heparin for anticoagulation therapy by the doctor according to his clinical experience, or intermittent pneumatic pressure therapy. The occurrence and distribution of deep vein thrombosis were compared in patients of both groups. At the same time, platelet and hemoglobin were recorded.

RESULTS AND CONCLUSION: In the observation group, three patients suffered from deep vein thrombosis with an incidence of 6%. In the control group, 11 patients affected deep vein thrombosis, with an incidence of 22%. There were significant differences between the two groups (P < 0.05). No significant difference in constituent ratio of the distribution of deep vein thrombosis was detected in the distal vein and proximal vein in patients of both groups (P > 0.05). Hemoglobin value was lower at 1 day after surgery compared with that pre-operation in the two groups (P < 0.05). Platelet value was lower at 1 day after surgery compared with that pre-operation in the two groups (P > 0.05). No significant difference in hemoglobin and platelet values was detected between two groups at 1 and 6 days after surgery (P > 0.05). Results indicated that the comprehensive prevention program containing the sequential and cross combined with low molecular heparin, intermittent pneumatic pressure therapy and continuous femoral nerve block analgesia can significantly reduce the incidence of deep vein thrombosis, and no serious complications occurred, and the effects are affirmative and reliable.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: Arthroplasty, Replacement, Hip, Venous Thrombosis, Heparin, Analgesia

CLC Number:

R318

Chen Jian-hong, Xi Zi-long, Yuan Zhu. Comprehensive prevention of deep vein thrombosis after total hip replacement[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(17): 2642-2647.

Figures/Tables 6

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