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联合研究数据:全髋关节置换术后低分子量肝素与华法林的疗效比较

Consortium data: comparative efficacy of low molecular weight heparin and warfarin following total hip replacement.

作者信息

Colwell C W

机构信息

Division of Orthopedic Surgery, Scripps Clinic and Research Foundation, La Jolla, Calif, USA.

出版信息

Orthopedics. 1995 Jul;18 Suppl:21-3.

PMID:7479422
Abstract

The Consortium Study is a prospective, randomized research project designed to extend the medical community's understanding of the incidence of thromboembolic disease following hip replacement surgery. The study's methodology of assessing deep vein thrombosis (DVT) and pulmonary embolism (PE) is by clinical symptomatology. Once clinical symptoms occur, diagnostic confirmation includes noninvasive techniques such as duplex ultrasonography, venography, VQ lung scan, and/or lung angiography. The study is designed to recruit a cohort of 4500 patients and will involve 150 medical centers in the United States. The final conclusion and definitive data of the incidence of DVT and PE, when comparing enoxaparin with warfarin, will be available after the full complement of 4500 patients is recruited. This study will demonstrate the incidence of thromboembolic disease during the acute hospital phase and the medium-term phase for the patient undergoing elective hip replacement.

摘要

该联合研究是一项前瞻性、随机研究项目,旨在拓展医学界对髋关节置换术后血栓栓塞性疾病发病率的认识。该研究评估深静脉血栓形成(DVT)和肺栓塞(PE)的方法是通过临床症状。一旦出现临床症状,诊断确认包括双功超声、静脉造影、V/Q肺扫描和/或肺血管造影等非侵入性技术。该研究计划招募4500名患者,将涉及美国的150个医疗中心。在招募满4500名患者后,将得出比较依诺肝素与华法林时DVT和PE发病率的最终结论及确切数据。这项研究将证明择期髋关节置换患者在急性住院期和中期血栓栓塞性疾病的发病率。

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