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腿部加压预防静脉淤滞的有效性。

Effectiveness of leg compression in preventing venous stasis.

作者信息

Mittelman J S, Edwards W S, McDonald J B

出版信息

Am J Surg. 1982 Dec;144(6):611-3. doi: 10.1016/0002-9610(82)90535-9.

Abstract

To compare the ability of intermittent calf compression with that of sequential leg compression to prevent venous stasis, the clearance time of radiopaque dye, as determined by sequential phleborheograms performed on anesthetized patients, were compared. Calf compression was superior to no compression in clearing the dye from the calf alone, but did not aid clearance from the rest of the leg. Sequential leg compression was superior to intermittent calf compression in clearing dye from the calf and popliteal areas. Since intermittent leg compression has been as effective as small-dose heparin therapy in preventing postoperative deep venous thrombosis [7], the use of sequential leg compression may prove to be more effective and have less complication than heparin administration.

摘要

为比较间歇性小腿加压与连续腿部加压预防静脉淤滞的能力,对在麻醉患者身上进行的连续静脉血流图测定的不透射线染料清除时间进行了比较。仅在从小腿清除染料方面,小腿加压优于无加压,但对腿部其余部位的清除无帮助。在从小腿和腘窝区域清除染料方面,连续腿部加压优于间歇性小腿加压。由于间歇性腿部加压在预防术后深静脉血栓形成方面已与小剂量肝素治疗同样有效[7],连续腿部加压的应用可能证明比肝素给药更有效且并发症更少。

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