Clinical study of perioperative multimodal strategy to prevent deep vein thrombosis in patients undergoing total knee replacements retrospective
10.3969/j.issn.1671-8348.2014.06.008
- VernacularTitle:多模式防治策略预防全膝关节置换术后深静脉血栓形成的临床研究
- Author:
Bo CHENG
;
Su MIN
;
Ping LI
;
Kaihua HE
;
Ke WEI
;
Qiuju XIONG
- Publication Type:Journal Article
- Keywords:
total knee replacement;
deep vein thrombosis;
multimodal strategy;
retrospective clinical study
- From:
Chongqing Medicine
2014;(6):661-662,665
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the more effective measures for the prevention of deep vein thrombosis (DVT ) by comparing the different efficacy between the multimodal strategy and liberal measures .Methods From July 2011 to June 2013 ,medical records of 289 patients who had accepted total knee replacement (TKR) were collected .Patients were divided into two groups according to whether exploring to the multimodal strategy or liberal measures after TKR .The multimodal strategy consisted of sequentially used perioperative intermittent pneumatic compression ,intermittent pneumatic compression ,and postoperative continues femoral nerve block analgesia .Patients in group A were treated during July 2011 to June 2012 ,and accepted liberal measures for the prevention of DVT .Patients in group B were treated after June 2012 ,and accepted multimodal strategy .The data of each group were collected for statistical analysis on the following aspects :DVT occurrence rate ,DVT distribution ,age ,gender ,body mass index ,disease ,operation duration ,volume of blood loss and transfusion during operation phase ,drainage volume after TKR .Results The DVT occurrence rate of patients in group B were significantly lower than that of patients in group A (P<0 .05) .No significant difference were foun-ded in the DVT distribution between the two groups(P>0 .05) .Conclusion The multimodal strategy consisted of sequentially used perioperative intermittent pneumatic compression ,postoperative low molecular weight heparin ,and postoperative continues femoral nerve block analgesia is more effective than liberal measures for the prevention of DVT .
