韩国患者全髋关节置换术后使用间歇性充气加压预防静脉血栓栓塞
Preventing Venous Thromboembolism with Use of Intermittent Pneumatic Compression after Total Hip Arthroplasty in Korean Patients.
作者信息
Jo Woo-Lam, Lee Young-Kyun, Ha Yong-Chan, Lee Kyung-Min, Kang Bun-Jung, Koo Kyung-Hoi
机构信息
Department of Orthopaedic Surgery, Seoul Saint Mary's Hospital, Seoul, Korea .
Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea .
出版信息
J Korean Med Sci. 2016 Aug;31(8):1319-23. doi: 10.3346/jkms.2016.31.8.1319. Epub 2016 May 24.
Abstract
Intermittent Pneumatic Compression (IPC) device has been used to prevent venous thromboembolism (VTE). This study investigated the effectiveness of IPC device. We evaluated incidences of deep vein thrombosis (DVT) and pulmonary embolism (PE) in total hip arthroplasty (THA) patients after use of IPC device, and compared with historical incidences from our institution. We applied IPC device in 741 patients who underwent 870 elective primary THAs from January 2010 to December 2013, DVT was detected in 3 patients (0.3%) by sonography, and one (0.1%) of them was symptomatic. Symptomatic PE occurred in 1 patient (0.1%) and there were no cases of fatal PE. The incidence of symptomatic DVT was significantly lower than the historical control (P = 0.042). The IPC is a safe and effective prophylaxis of VTE after primary THA in Korea.
摘要
间歇性气动压迫（IPC）装置已被用于预防静脉血栓栓塞（VTE）。本研究调查了IPC装置的有效性。我们评估了全髋关节置换术（THA）患者使用IPC装置后深静脉血栓形成（DVT）和肺栓塞（PE）的发生率，并与我们机构的历史发生率进行了比较。我们对2010年1月至2013年12月期间接受870例择期初次THA的741例患者应用了IPC装置，通过超声检查在3例患者（0.3%）中检测到DVT，其中1例（0.1%）有症状。有症状的PE发生在1例患者（0.1%）中，没有致命PE病例。有症状DVT的发生率显著低于历史对照（P = 0.042）。在韩国，IPC是初次THA后预防VTE的一种安全有效的方法。
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