Prevention of the perioperative deep venous thrombosis in hip arthroplasty
Liu Jian-wei
Jiang Wei-ping
Abstract：BACKGROUND: A meta-analysis of the clinical effectiveness of physical therapy combined with drugs versus single physical therapy or drugs for preventing deep venous thrombosis (DVT) has shown that combined therapy can effectively reduce the incidence of DVT.OBJECTIVE: To explore the effective measures of the prevention of perioperative DVT in hip arthroplasty.METHODS: This is a prospective study, 350 patients undergoing hip replacement were randomly divided into two groups, followed by given the treatment of intermittent pneumatic compression combined with standard dose of low-molecular-weight heparin (combination group), or only low-molecular-weight heparin (control group). The perioperative incidence of DVT was observed.RESULTS AND CONCLUSION: (1) The incidence of DVT in the combination group was significantly lower than that in the control group (11% vs. 33.1%, P < 0.01). (2) No symptomatic pulmonary embolism was found in both groups. (3) To conclude, the anticoagulant prevention of DVT using the combination of intermittent pneumatic compression and standard dose of low-molecular-weight heparin is more effective than the use of low-molecular-weight heparin alone.
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Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 4927-4932 )