• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

对于妇科手术后的患者，与单独使用渐进性加压弹力袜相比，联合使用渐进性加压弹力袜和间歇性气动加压在预防深静脉血栓形成方面效果更佳：一项荟萃分析。

Combination of graduated compression stockings and intermittent pneumatic compression is better in preventing deep venous thrombosis than graduated compression stockings alone for patients following gynecological surgery: a meta-analysis.

作者信息

Lu Limei, Shen Ya, Pan Yuping

机构信息

Department of Gynaecology, Huzhou Maternity & Child Health Care Hospital, Huzhou, 313000, Zhejiang, China.

Nursing Department, Huzhou Maternity & Child Health Care Hospital, No 2 East Road, Wuxing District, Huzhou, 313000, Zhejiang, China.

出版信息

Thromb J. 2024 Jul 12;22(1):63. doi: 10.1186/s12959-024-00636-1.

DOI:10.1186/s12959-024-00636-1
PMID:38997730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11245769/
Abstract

BACKGROUND

Deep vein thrombosis (DVT) is common in patients undergoing gynecological surgery. We aimed to investigate the preventive efficacy in DVT of graduated compression stockings (GCS) alone and in combination with intermittent pneumatic compression (GCS + IPC) after gynecological surgery.

METHODS

In November 2022, studies on the use of GCS and GCS + IPC for the prevention of DVT after gynecological surgery were searched in seven databases. After literature screening and data extraction based on specific inclusion and exclusion criteria, preventive efficacies, including the risk of DVT and anticoagulation function, of GCS and GCS + IPC were compared. Finally, sensitivity analysis and Egger's test were performed to evaluate the stability of the meta-analysis.

RESULTS

Six publications with moderate quality were included in this meta-analysis. The results showed that GCS + IPC significantly reduced DVT risk (P = 0.0002) and D-dimer levels (P = 0.0005) compared with GCS alone. Sensitivity analysis and Egger's test showed that the combined results of this study were stable and reliable.

CONCLUSIONS

Compared with GCS alone, GCS + IPS showed a higher preventive efficacy against DVT in patients following gynecological surgery.

摘要

背景

深静脉血栓形成（DVT）在接受妇科手术的患者中很常见。我们旨在研究分级压力弹力袜（GCS）单独使用以及与间歇充气加压联合使用（GCS + IPC）对妇科手术后DVT的预防效果。

方法

2022年11月，在七个数据库中检索了关于使用GCS和GCS + IPC预防妇科手术后DVT的研究。根据特定的纳入和排除标准进行文献筛选和数据提取后，比较了GCS和GCS + IPC的预防效果，包括DVT风险和抗凝功能。最后，进行敏感性分析和Egger检验以评估荟萃分析的稳定性。

结果

本荟萃分析纳入了6篇质量中等的出版物。结果显示，与单独使用GCS相比，GCS + IPC显著降低了DVT风险（P = 0.0002）和D - 二聚体水平（P = 0.0005）。敏感性分析和Egger检验表明，本研究的合并结果稳定可靠。

结论

与单独使用GCS相比，GCS + IPS对妇科手术后患者DVT的预防效果更高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde8/11245769/832f63233809/12959_2024_636_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde8/11245769/a3b91efc8846/12959_2024_636_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde8/11245769/fda0111ebd58/12959_2024_636_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde8/11245769/3810d0f1fbfe/12959_2024_636_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde8/11245769/832f63233809/12959_2024_636_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde8/11245769/a3b91efc8846/12959_2024_636_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde8/11245769/fda0111ebd58/12959_2024_636_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde8/11245769/3810d0f1fbfe/12959_2024_636_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde8/11245769/832f63233809/12959_2024_636_Fig4_HTML.jpg

相似文献

1
Combination of graduated compression stockings and intermittent pneumatic compression is better in preventing deep venous thrombosis than graduated compression stockings alone for patients following gynecological surgery: a meta-analysis.对于妇科手术后的患者，与单独使用渐进性加压弹力袜相比，联合使用渐进性加压弹力袜和间歇性气动加压在预防深静脉血栓形成方面效果更佳：一项荟萃分析。
Thromb J. 2024 Jul 12;22(1):63. doi: 10.1186/s12959-024-00636-1.
2
Graduated compression stockings for prevention of deep vein thrombosis.用于预防深静脉血栓形成的梯度压力弹力袜。
Cochrane Database Syst Rev. 2018 Nov 3;11(11):CD001484. doi: 10.1002/14651858.CD001484.pub4.
3
Graduated compression stockings for prevention of deep vein thrombosis.用于预防深静脉血栓形成的梯度压力弹力袜。
Cochrane Database Syst Rev. 2014 Dec 17(12):CD001484. doi: 10.1002/14651858.CD001484.pub3.
4
A systematic review of venous thromboembolism mechanical prophylaxis devices during surgery.手术期间静脉血栓栓塞症机械预防装置的系统评价。
Langenbecks Arch Surg. 2023 Oct 18;408(1):410. doi: 10.1007/s00423-023-03142-6.
5
Intermittent pneumatic compression or graduated compression stockings for deep vein thrombosis prophylaxis? A systematic review of direct clinical comparisons.间歇气动压迫与分级加压弹力袜用于深静脉血栓预防：直接临床比较的系统评价
Ann Surg. 2010 Mar;251(3):393-6. doi: 10.1097/SLA.0b013e3181b5d61c.
6
Efficacy of intermittent pneumatic compression for venous thromboembolism prophylaxis in patients undergoing gynecologic surgery: A systematic review and meta-analysis.间歇性气动压迫在妇科手术患者中预防静脉血栓栓塞的疗效：一项系统评价和荟萃分析。
Oncotarget. 2017 Mar 21;8(12):20371-20379. doi: 10.18632/oncotarget.13620.
7
Semiautomatic intermittent pneumatic compression device applied to deep vein thrombosis in major orthopedic surgery.半自动间歇气动压迫装置在大型骨科手术深静脉血栓中的应用。
Biomed Eng Online. 2018 Jun 15;17(1):78. doi: 10.1186/s12938-018-0513-5.
8
Clinical benefit of graduated compression stockings for prevention of venous thromboembolism after total knee arthroplasty: post hoc analysis of a phase 3 clinical study of edoxaban.逐级加压弹力袜预防全膝关节置换术后静脉血栓栓塞的临床获益：依度沙班3期临床研究的事后分析
Thromb J. 2016 Jun 8;14:13. doi: 10.1186/s12959-016-0087-z. eCollection 2016.
9
Prevention of deep vein thrombosis in potential neurosurgical patients. A randomized trial comparing graduated compression stockings alone or graduated compression stockings plus intermittent pneumatic compression with control.
Arch Intern Med. 1989 Mar;149(3):679-81.
10
Compression stockings in addition to low-molecular-weight heparin to prevent venous thromboembolism in surgical inpatients requiring pharmacoprophylaxis: the GAPS non-inferiority RCT.加压弹力袜联合低分子肝素预防需药物预防的住院手术患者静脉血栓栓塞症：GAPS 非劣效 RCT 研究。
Health Technol Assess. 2020 Dec;24(69):1-80. doi: 10.3310/hta24690.

引用本文的文献

1
Incidence of deep venous thrombosis following medial opening-wedge high tibial osteotomy for varus knee osteoarthritis: a retrospective study.内翻型膝关节骨关节炎行内侧开放楔形高位胫骨截骨术后深静脉血栓形成的发生率：一项回顾性研究
BMC Musculoskelet Disord. 2025 May 15;26(1):476. doi: 10.1186/s12891-025-08713-w.
2
Influence of postoperative D-dimer evaluation and intraoperative use of intermittent pneumatic vein compression (IPC) on detection and development of perioperative venous thromboembolism in brain tumor surgery.术后 D-二聚体评估和术中使用间歇性气动静脉压迫（IPC）对脑肿瘤手术围手术期静脉血栓栓塞症的检测和发展的影响。
Acta Neurochir (Wien). 2024 Nov 26;166(1):480. doi: 10.1007/s00701-024-06379-2.

本文引用的文献

1
Epidemiology and prevention of venous thromboembolism.静脉血栓栓塞症的流行病学和预防。
Nat Rev Cardiol. 2023 Apr;20(4):248-262. doi: 10.1038/s41569-022-00787-6. Epub 2022 Oct 18.
2
Deep Venous Thrombosis.深静脉血栓形成。
Ann Intern Med. 2022 Sep;175(9):ITC129-ITC144. doi: 10.7326/AITC202209200. Epub 2022 Sep 13.
3
The effect of intermittent pneumatic compression on deep-vein thrombosis and ventilation-free days in critically ill patients with heart failure.间歇气动压迫对心力衰竭重症患者深静脉血栓形成和无通气天数的影响。
Sci Rep. 2022 May 20;12(1):8519. doi: 10.1038/s41598-022-12336-9.
4
Correlation between serum factor VIII:C levels and deep vein thrombosis following gynecological surgery.妇科手术后血清因子 VIII:C 水平与深静脉血栓形成的相关性。
Bioengineered. 2021 Dec;12(2):9668-9677. doi: 10.1080/21655979.2021.1981755.
5
Risk factors of deep vein thrombosis of lower extremity in patients undergone gynecological laparoscopic surgery: what should we care.妇科腹腔镜手术后下肢深静脉血栓形成的危险因素：我们应该关注什么。
BMC Womens Health. 2021 Mar 26;21(1):130. doi: 10.1186/s12905-021-01276-7.
6
Incidence of Venous Thromboembolism in a Racially Diverse Population of Oklahoma County, Oklahoma.俄克拉荷马州俄克拉荷马县不同种族人群的静脉血栓栓塞发生率。
Thromb Haemost. 2021 Jun;121(6):816-825. doi: 10.1055/s-0040-1722189. Epub 2021 Jan 10.
7
Efficiency and safety evaluation of prophylaxes for venous thrombosis after gynecological surgery.妇科手术后静脉血栓形成预防措施的有效性和安全性评估
Medicine (Baltimore). 2020 Jun 19;99(25):e20928. doi: 10.1097/MD.0000000000020928.
8
Analysis of risk factors for deep venous thrombosis in patients with gynecological malignant tumor: A clinical study.妇科恶性肿瘤患者深静脉血栓形成的危险因素分析：一项临床研究
Pak J Med Sci. 2019 Jan-Feb;35(1):195-199. doi: 10.12669/pjms.35.1.365.
9
Graduated compression stockings for prevention of deep vein thrombosis.用于预防深静脉血栓形成的梯度压力弹力袜。
Cochrane Database Syst Rev. 2018 Nov 3;11(11):CD001484. doi: 10.1002/14651858.CD001484.pub4.
10
Extended versus conventional thromboprophylaxis after major abdominal and pelvic surgery: Systematic review and meta-analysis of randomized clinical trials.大型腹部和骨盆手术后的延长与常规血栓预防：随机临床试验的系统评价和荟萃分析。
Surgery. 2018 Dec;164(6):1234-1240. doi: 10.1016/j.surg.2018.05.028. Epub 2018 Sep 3.