空气波压力治疗预防全膝关节置换后下肢深静脉血栓

中国组织工程研究 第17卷 第52期 2013–12–24出版

Chinese Journal of Tissue Engineering Research December 24, 2013 Vol.17, No.52 doi:10.3969/j.issn.2095-4344.2013.52.007 [doc.guandang.net]

唐进，杨涛，熊小江，陈林，程智勇，占方彪，廖乙名. 空气波压力治疗预防全膝关节置换后下肢深静脉血栓[J]. 中国组织工程研究，2013，17(52):8981-8986.

空气波压力治疗预防全膝关节置换后下肢深静脉血栓★

唐 进，杨 涛，熊小江，陈 林，程智勇，占方彪，廖乙名(重庆三峡中心医院骨科，重庆市 404000)

文章亮点：

实验从膝关节置换后患者的血凝状态方面探讨了空气波压力治疗在预防膝关节置换后下肢深静脉血栓形成中的重要作用，但文章中没有深入探讨空气波压力治疗、抗凝药物的使用及患者主被动功能锻炼间是否存在协同作用及效果的叠加。 关键词：

骨关节植入物；人工假体；全膝关节置换；空气波压力；下肢深静脉血栓；综合凝血指数；肿胀指数 主题词：

膝关节；膝关节，人工；骨关节炎，膝；静脉血检形成；凝血酶

摘要

背景：大量文献研究表明，空气波压力治疗在预防髋部大手术后下肢深静脉血栓形成中有重要作用。 目的：探讨空气波压力治疗仪对预防全膝关节置换后下肢深静脉血栓的效果。

方法：80例全膝关节置换患者随机数字表法均分为试验组和对照组，对照组行常规治疗与护理加个人行为功能锻炼，试验组在对照组基础上，置换后第2天采用空气波压力治疗仪治疗双下肢；比较两组患者患肢肿胀指数、凝血综合指数及发生下肢深静脉血栓的例数。

结果与结论：治疗后2周，试验组肿胀指数、凝血综合指数及发生下肢深静脉血栓的例数明显减少，其效果明显优于对照组，差异有显著性意义(P < 0.05)。全膝关节置换后早期应用空气波压力治疗仪能有效缓解患肢肿胀，改善凝血综合指数，改善患者的血凝状态，预防人工全膝关节置换后的下肢深静脉血栓形成。

Air wave pressure therapy in prevention of deep vein thrombosis of the lower extremity after total knee arthroplasty

Tang Jin, Yang Tao, Xiong Xiao-jiang, Chen Lin, Cheng Zhi-yong, Zhan Fang-biao, Liao Yi-ming

(Department of Orthopedics, Chongqing Three Gorges Central Hospital, Chongqing 404000, China)

Abstract

BACKGROUND: Numerous studies have shown that air wave pressure therapy plays an important role in prevention of deep venous thrombosis of lower limb after a major operation on the hip.

OBJECTIVE: To explore the efficacy of air wave pressure therapy on deep vein thrombosis of the lower extremity in patients with total knee arthroplasty.

METHODS: A total of 80 patients with total knee arthroplasty were randomly divided into experimental group and control group. Patients in the control group were treated only with conventional method to help the patient massage the lower extremity by the nurse and combined with active functional exercise; patients in the

experimental group were treated with air wave pressure therapy at 2 days postoperatively, and were also treated with conventional method to help the patient massage the lower extremity by the nurse and combined with active functional exercise. Swelling index, coagulation index and the number of patients with deep venous thrombosis of the lower extremity were recorded in both groups.

RESULTS AND CONCLUSION: At 2 weeks after treatment, swelling index, coagulation index and the number of patients with deep venous thrombosis of the lower extremity were significantly reduced in the experimental group, and its effects were significantly better than those in the control group (P < 0.05). Early use of air wave pressure therapy after total knee arthroplasty can alleviate limb swelling effectively and have obvious advantages in

improving coagulation index and blood coagulation condition and in preventing deep vein thrombosis of the lower extremity after total knee arthroplasty.

Subject headings: knee joint; knee prosthesis; osteoarthritis, knee; venous thrombosis; thrombin

Tang J, Yang T, Xiong XJ, Chen L, Cheng ZY, Zhan FB, Liao YM. Air wave pressure therapy in prevention of deep vein thrombosis of the lower extremity after total knee arthroplasty. Zhongguo Zuzhi Gongcheng Yanjiu. 2013;17(52):8981-8986.

ISSN 2095-4344 CN 21-1581/R CODEN: ZLKHAH www.

CRTER.org

唐进★，男，1984年生，重庆市人，汉族，2011年重庆医科大学毕业，硕士，医师，主要从事骨关节外科方面的研究。

tangjin1010@163.com

通讯作者：廖乙名，主治医师，重庆三峡中心医院骨科，重庆市 404000 liao1m@163.com

中图分类号:R318 文献标识码:A 文章编号:2095-4344 (2013)52-08981-06

修回日期：2013-09-03 (201303225/D

〃Q)

Tang Jin★, Master, Physician, Department of Orthopedics, Chongqing Three Gorges Central Hospital, Chongqing 404000, China tangjin1010@163.com

Corresponding author: Liao Yi-ming, Attending physician, Department of Orthopedics, Chongqing Three Gorges Central Hospital, Chongqing 404000, China liao1m@163.com

Accepted: 2013-09-03

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