论文：腿部梯度气压仪与足底泵对预防静脉血栓效果的比较

论文：腿部梯度气压仪与足底泵对预防静脉血栓效果的比较 J Trauma. 1999 Jul;47(1):25-32. Calf-thigh sequential pneumatic compression compared with plantar venous pneumatic compression to prevent deep-vein thrombosis after non-lower extremity trauma. Elliott CG, Dudney TM, Egger M, Orme JF, Clemmer TP, Horn SD, Weaver L, Handrahan D, Thomas F, Merrell S, Kitterman N, Yeates S. Department of Medicine, LDS Hospital and the University of Utah School of Medicine, Salt Lake City 84143, USA. ldgellio@ihc.com OBJECTIVE: To compare the effectiveness of calf-thigh sequential pneumatic compression devices with the effectiveness of plantar venous intermittent pneumatic compression devices in prevention of venous thrombosis after major trauma. SUBJECTS AND METHODS: We evaluated 181 consecutive patients after major trauma without lower extremity injuries that precluded the use of pneumatic compression devices. We randomly assigned 149 patients to either calf-thigh sequential pneumatic compression or plantar venous pneumatic compression. After blinding the observers to the method of prophylaxis against deep-vein thrombosis, we performed bilateral compression ultrasonography on or before day 8 after randomization. RESULTS: Among 149 randomized patients, 62 who received calf-thigh sequential pneumatic compression and 62 who received plantar venous intermittent pneumatic compression devices completed the trial. Thirteen patients randomized to plantar venous intermittent pneumatic compression (21.0%) and 4 patients randomized to calf-thigh sequential pneumatic compression (6.5%) had deep-vein thrombosis (p = 0.009). Seven of 13 patients with deep-vein thrombosis after prophylaxis with plantar venous intermittent pneumatic compression had bilateral deep-vein thromboses, whereas all 4 patients with deep-vein thrombosis after prophylaxis with calf-thigh sequential pneumatic compression had unilateral deep-vein thrombosis. CONCLUSION: Calf-thigh sequential pneumatic compression prevents deep-vein thrombosis more effectively than plantar venous intermittent pneumatic compression after major trauma without lower extremity injuries. Publication Types: , Clinical Trial , Randomized Controlled Trial PMID: 10421182 [PubMed - indexed for MEDLINE] 1 腿部梯度气压仪与足底泵对预防静脉血栓效果的比较 Elliott CG, Dudney TM, Egger M, Orme JF, Clemmer TP, Horn SD, Weavee L, Handrahan D, Thomas F, Merrell S, Kitterman N, Yeates S. LDS医院医学部，犹他州大学医学院，盐湖城(84143)，美国 Idgellio@ihc.com 目的: 对腿部梯度气压仪与足底泵预防大外伤静脉血栓的效果进行比较 样本及方法: 我们观察了181位大外伤病人,他们均无排除使用梯度气压仪的下肢患疾。将149位病人随机分成腿部梯度气压仪组和足底泵组。在观察者不知道采用哪种预防深静脉血栓的方法的情况下，随机分组后8天内，对病人进行了双面压超声扫描检查。 结果: 149位随机病人，62位实行了腿部梯度气压仪，62位实行了足底泵。在足部组中有13位发生了DVT(21%)，腿部组中有,位发生了DVT(6.5%)(,,0.009)。在足部组13位DVT患者中有7位发生双DVT，在腿部组中,位DVT患者中无双DVT。 结论: 腿部梯度压力仪比足底泵对无下肢创伤的大外伤DVT的预防更加有效。 2 3