肝素钙预防脊柱术后下肢深静脉血栓的效果

Effect of Heparin Calcium on Prevention of Deep Venous Thrombosis of Lower Limbs After Spinal Surgery

目的脊柱手术患者术后,通过肝素钙进行预防,分析患者的下肢深静脉血栓治疗效果。方法本次研究中所抽取的病例均来自于医院在2016年7月—2019年7月期间收治的脊柱损伤手术的患者,从中随机抽取出60例作为研究对象,采用随机数字表法当作本次研究的分组方法,分成30例观察组和30例对照组,两组还拿着均通过弹力袜对下肢深静脉血栓进行物理预防,对照组通过低分子肝素钙进行预防治疗,观察组通过利伐沙班片进行预防治疗,对两组患者的治疗效果进行对比,对两组患者的下肢深静脉血栓发生情况进行比较,对两组患者的治疗后的FSV以及POPV水平进行比较。结果观察组患者的治疗总有效为93.33%(28/30),对照组患者为90.00%(27/30),两组患者的下肢深静脉血栓发生率大致相同,PSV以及POPV水平也大致相同,差异不具有统计学意义(P>0.05)。结论脊柱手术后,患者通过肝素钙对下肢深静脉血栓情况进行预防治疗,有效提高治疗效果,降低发生率,提高安全性。

Objective After spine surgery,heparin calcium is used to prevent and analyze the treatment effect of deep vein thrombosis of the lower extremities.Methods The cases selected in this study were all from the patients undergoing spinal injury surgery in our hospital between July 2016 and July 2019.From these cases,60 cases were randomly selected as the research objects,and the random number table method was used.As the grouping method of this study,they were divided into 30 observation group and 30 control group.The two groups also took the physical prevention of deep vein thrombosis of lower limbs through elastic stockings.The control group was treated with low molecular heparin calcium.The observation group Through the preventive treatment of rivaroxaban tablets,the treatment effects of the two groups of patients were compared,the occurrence of deep vein thrombosis of the two groups of patients was compared and the FSV and POPV levels of the two groups after treatment were compared.Results The total effective treatment of the observation group was 93.33%(28/30),and the control group was 90.00%(27/30).The incidence of deep vein thrombosis in the two groups of patients was roughly the same,and the levels of PSV and POPV were roughly the same.,The difference is not statistically significant(P>0.05).Conclusion After spinal surgery,patients can prevent and treat deep vein thrombosis of lower extremities through heparin calcium,which can effectively improve the treatment effect,reduce the incidence,and improve safety.