摘要
目的探讨低分子肝素钙对预防髋关节置换术后深静脉血栓(DVT)形成的疗效与护理。方法将60例患者分为观察组和对照组,均给予抬高患肢,指导踝泵运动,术后弹力绷带缠绕患肢,CPM功能锻炼。观察组予术后6h给予低分子肝素钙4000IU腹壁皮下注射,连续10d,14d后观察疗效。结果低分子肝素钙预防DVT效果显著,观察组仅1例出现DVT,与对照组比较差异有统计学意义(P<0.05),但存在皮下出血、淤血等不良反应。结论掌握低分子肝素钙使用时机和注射技巧,使用过程中加强观察、护理,可避免不良反应,同时有效预防DVT发生。
Objective To investigate the effect and attendance of low molecular weight heparin to prevent deep venous thrombosis after primary hip replacement.Methods Sixty cases were divided into control group and observation group,all cases were raised affected-limb,guided ankle-exercise,given CPM and winded limb with bandage,observation group received low-molecular-weight heparin successively ten days,which was injected subcutaneously 6 hours after surgery with 4000IU.Results The patients who received low-molecular-weight heparin were only found one DVT,it had a significantly different compared with the control group.But there were still had some adverse effects like subcutaneous hemorrhage and stagnant blood.Conclusion Our findings indicate that low-molecular-weight heparin used in THR can avoid adverse effect and prevent the DVT to happen,if we enhance observation and attendance,get the correct time and injection skill when we use low-molecular-weight heparin.
出处
《当代医学》
2011年第13期151-152,共2页
Contemporary Medicine
关键词
低分子肝素钙
深静脉血栓
护理
Low-molecular-weight heparin
Deep venous thrombosis
Attendance
