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髋部骨折手术中的血栓预防:一项比较达那肝素、依诺肝素和达肝素的试点研究。TIFDED研究组。

Thromboprophylaxis in hip fracture surgery: a pilot study comparing danaparoid, enoxaparin and dalteparin. The TIFDED Study Group.

出版信息

Haemostasis. 1999 Nov-Dec;29(6):310-7. doi: 10.1159/000022518.

Abstract

A pilot study was performed to compare the thromboprophylactic effect of danaparoid, enoxaparin and dalteparin in patients with hip fracture. The study was a prospective, randomised assessor-blind, four-centre trial. Prophylaxis was given for 9-11 days, whereafter bilateral phlebography was performed. A total of 197 patients were randomised. There were no statistically significant differences in the frequency of deep vein thrombosis, in blood loss or bleeding complications between the three prophylaxis groups. In conclusion, this moderately sized study revealed no statistically significant difference in efficacy or safety between danaparoid, enoxaparin and dalteparin in patients undergoing hip fracture surgery.

摘要

开展了一项前瞻性研究,比较达那肝素、依诺肝素和达肝素对髋部骨折患者的血栓预防效果。该研究为前瞻性、随机、评估者盲法的四中心试验。预防用药9 - 11天,之后进行双侧静脉造影。共有197例患者被随机分组。三个预防组在深静脉血栓形成频率、失血量或出血并发症方面无统计学显著差异。总之,这项规模适中的研究表明,达那肝素、依诺肝素和达肝素在接受髋部骨折手术的患者中,在疗效或安全性方面无统计学显著差异。

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