张舰;桑翠琴;赵娜;郭淑丽;王淑珍;吴安石;张震宇;

• 1:首都医科大学附属朝阳医院妇产科

摘要(Abstract)：

目的:探讨两种机械预防措施对妇科盆腔术后下肢深静脉血栓(DVT)形成中高危患者的影响和作用。方法:前瞻性随机对照研究有血栓中高危险因素的妇科术后患者139例,将患者随机分成2组,分别采用GCS(142例)、GCS+IPC(136例)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组的DVT发生率11.3%(16/142),肺栓塞发生率8.5%(6/71);GCS+IPC组的DVT发生率4.4%(6/136),肺栓塞发生率1.5%(1/68)。两组的DVT发生率有统计学意义(P<005),GCS+IPC组的肺栓塞发生率低于GCS组,但差异无统计学意义(P>0.05)。两预防组间术后白细胞、血小板、凝血功能及血栓相关指标平均值水平均无明显统计学差异(P>0.05)。结论:GCS、GCS+IPC均能有效预防DVT的发生,GCS+IPC较GCS预防DVT的效果更佳,而且能降低致死性高的PE发生率。

关键词(KeyWords)： 下肢深静脉血栓;妇科盆腔手术;预防和控制

Abstract:

Keywords:

基金项目(Foundation): 首都医学发展科研基金资助项目(No:2011-2003-03)

作者(Authors): 张舰;桑翠琴;赵娜;郭淑丽;王淑珍;吴安石;张震宇;

DOI: 10.13283/j.cnki.xdfckjz.2014.09.009

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