急性脊髓损伤患者深静脉血栓形成的预防：旋转治疗床的应用

Prevention of deep venous thrombosis in patients with acute spinal cord injuries: use of rotating treatment tables.

作者信息

Becker D M, Gonzalez M, Gentili A, Eismont F, Green B A

出版信息

Neurosurgery. 1987 May;20(5):675-7. doi: 10.1227/00006123-198705000-00001.

DOI:10.1227/00006123-198705000-00001

Abstract

A randomized clinical trial of 15 patients with acute spinal cord injuries was performed to test the hypothesis that rotating treatment tables prevent deep venous thrombosis in this population. Four of 5 control (nonrotated) patients developed distal and proximal thrombi, assessed by 125I fibrinogen leg scans and impedance plethysmography. In comparison, only 1 of 10 treated (rotated) patients developed both distal and proximal thrombosis (P = 0.007). These results suggest but do not prove that rotating treatment tables prevent the development of proximal deep venous thrombosis in spinal cord-injured patients. Larger clinical trials are needed to confirm this heretofore undocumented benefit of rotating treatment tables.

摘要

对15例急性脊髓损伤患者进行了一项随机临床试验，以检验旋转治疗台可预防该人群深静脉血栓形成这一假设。通过125I纤维蛋白原腿部扫描和阻抗体积描记法评估，5例对照（未旋转）患者中有4例出现远端和近端血栓。相比之下，10例接受治疗（旋转）的患者中只有1例出现远端和近端血栓形成（P = 0.007）。这些结果表明但未证明旋转治疗台可预防脊髓损伤患者近端深静脉血栓的形成。需要进行更大规模的临床试验来证实旋转治疗台这一此前未被记录的益处。