序贯加压袜和低分子肝素在预防妇科术后下肢深静脉血栓形成中的作用
摘要：目的探讨序贯加压袜(GCS)与低分子肝素（LMWH）预防措施对妇科盆腔术后下肢深静脉血栓形成中高危患者的影响和作用；方法前瞻性随机对照研究164例有血栓中高危险因素的妇科术后患者，随机分成两组后分别使用GCS、GCS+LMWH预防措施，记录患者手术前后血栓相关指标变化、术后下肢血栓、肺栓塞发生率及相关因素；结果GCS组DVT发生率12.8%（11/86），PE发生率8.1%(7/86)， GCS+LMWH组DVT发生率3.8%（3/78），PE发生率1.3%（1/78）；结论GCS+LMWH组预防下肢深静脉血栓及肺栓塞的效果均优于GCS组，两组之间差异有统计学意义（P<005）。
关键词：下肢深静脉血栓；妇科手术；预防
The Prophylaxis for Lower Extremity Deep Venous Thrombosis after Gynecological Pelvic Surgery
ZHANG Jian,SANG Cui-qin,ZHAO Na,GUO Shu-li,WANG Shu-zhen,ZHANG Zhen-yu
(Department of Obstetrics and Gynecology，The Affiliated of Beijing Chaoyang Hospital，Capital University of Medical Science，Beijing 100020,China)
Abstract：ObjectiveTo investigate the effect of lower extremity deep venous thrombosis prophylactics by two preventive methods in DVT high risk patients after gynecological pelvic surgery.Methods This propective randomized study consisted of 164 postoperative patients who were randomly assigned to two groups with high risk of DVT，GCS，GCS+LMWH were used as prophylactics for DVT，and the records of morbidity of DVT,PE and index related thrombosis both pre-operation and post-operation were analyzed.ResultsThe morbidity of DVT in GCS group was 12.8%，the morbidity of PE was 8.1%，the morbidity of DVT in GCS+LMWH group was 3.8%，the morbidity of PE was 1.3%.ConclusionThe effects of prophylaxis of DVT，PE in GCS+LMWH group was more effective than that in GCS group,there were significant statistical differences between the two groups（P<005）.
Key words：Deep venous thrombosis of lower extremity；Gynecologic surgery；Prevention
下肢深静脉血...
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