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穴位按摩预防膝关节置换术后深静脉血栓的护理研究 被引量:19

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摘要 下肢深静脉血栓(deep vein thrombosis of lower limbs,DVT)的形成是膝关节置换术(total knee arthroplasty,TKA)术后最常见的并发症[1],若未采取有效的预防措施,一旦发生易形成肺栓塞,危害患者生命,这也是导致骨关节科医疗纠纷的常见原因之一。即使在采用机械或药物预防的情况下,下肢深静脉血栓的发生率仍可达15%-30%[2-3]。
出处 《上海护理》 2018年第6期46-48,共3页 Shanghai Nursing
基金 上海市长宁区卫计委科研课题(20144Y021)
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  • 1查振刚,臧学慧,姚平,林宏生,吴昊,刘宁,黄耀熊.全髋关节置换术后深静脉血栓形成的临床研究及危险因素分析[J].中华外科杂志,2005,43(8):511-512. 被引量:122
  • 2Kelley SS,Lachiewicz PF,Wilson EC.Total hip replacement.Published by University of North Carolina.Available at:http://www.med.unc.edu/wrkunits/depts/ortho/patientinfo hipbook.html.October 2004.
  • 3Freedman KB,Brookenthal KR,Fitzgerald RH Jr,et al.A meta-analysis of thromboembolic prophylaxis following elective total hip arthroplasty.J Bone Joint Surg Am.2000;82-A(7):929-938.
  • 4White RH,Gettner S,Newman JM,et al.Predictors of rehospitalization for symptomatic venous thromboembolism after total hip arthroplasty.N Engl J Med.2000;343(24):1758-1764.
  • 5Salvati EA,Pellegrini VD Jr,Sharrock NE,et al.Recent advances in venous thromboembolic prophylaxis during and after total hip replacement.J Bone Joint Surg Am.2000;82(2):252-270.
  • 6Dhillon KS,Askander A,Doraismay S.Postoperative deep-vein thrombosis in Asian patients is not a rarity:a prospective study of 88 patients with no prophylaxis.J Bone Joint Surg Br.1996;78(3):427-430.
  • 7Kew J,Lee YL,Davey IC,et al.Deep vein thrombosis in elderly Hong Kong Chinese with hip fractures detected with compression ultrasound and Doppler imaging:incidence and effect of low molecular weight heparin.Arch Orthop Trauma Surg.1999;119(3-4):156-158.
  • 8Wilson D,Cooke EA,McNally MA,et al.Altered venous function and deep venous thrombosis following proximal femoral fracture.Injury.2002;33(1):33-39.
  • 9Wilson D,Cooke EA,McNally MA,et al.Changes in coagulability as measured by thrombelastography following surgery for proximal femoral fracture.Injury.2001 ;32(10):765-770.
  • 10Huang A,Barber N,Northeast A.Deep vein thrombosis prophylaxis protocol--needs active enforcement.Ann R Coll Surg Engl.2000;82(1):69-70.

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