低分子肝素钙联合疏血通防治老年髋部术后早期下肢深静脉血栓形成的临床观察-中医骨伤科学专业论文.docxVIP

成都中医药大学 成都中医药大学 2013 届硕士学位论文 PAGE PAGE 5 Objective: Abstract To study the clinical observation of Low-Molecular-Weight heparins calcium combined with Shuxuetong in the prevention and treatment of Pro-elder hip postoperative LDVT. Methods: Elder Patients of hip surgical treatment or hip replacement or half hip replacement randomly divided into experiment group or control group, each group of 45 cases. Postoperative of experiment group inject Shuxuetong with 5% glucose or 0.9% saline 250ml injection diluted, 4ml/qd. At the same time combined with the Low-Molecular-Weight heparins calcium injected from the second day of surgical treatment, abdominal subcutaneous , 4100 IU，qd, even served 10 days. Patients of control group injected Low-Molecular-Weight heparins calcium since the second day of surgical treatment, abdominal subcutaneous，4100 IU，qd, even served 10 days. The content that preoperative or postoperative observes including: platelet, blood coagulation, the change of lateral weeks diameter, the ultrasonography of lower limb deep vein, bleeding tendency, etc. Results: 45 patients complete test in the experiment group of 45 cases, fall off 0 cases, and eliminate 0 cases.43 patients complete test in the control group of 45 cases, fall off 0 cases, and eliminate 2 cases. The DVT occurring rate between them were 0% (0/45) . The occurring rate of DVT was no significant differences between the experiment and control group(P0.05). 2 cases occurred bleeding tendency in the control group.The occurring rate were 4.44 %, the bleeding tendency of two groups after surgical treatment was different, with statistical significance (P 0. 05). Conclusion: The Low-Molecular-Weight heparins calcium combined with Shuxuetong in reducing blood coagulation risk and in prevention of lower limbs of deep vein thrombosis is no difference, and even better in prevention of bleeding tendency than that of only way. Key words: combine；postoperative；limb；DVT 英