磺达肝癸钠与低分子量肝素在预防髋关节置换术患者深静脉血栓形成方面的比较。

IF 1.7 4区 医学 Q4 NEUROSCIENCES Journal of musculoskeletal & neuronal interactions Pub Date : 2024-06-01
Lin Wang, Zhujun Xu, Lin Zhang
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引用次数: 0

摘要

目的:全髋关节置换术(THA)是一种非常成功且有效的手术,可改善髋关节功能并缓解疼痛。然而,术后下肢容易发生深静脉血栓(DVT)和肿胀,从而延误康复。本研究探讨了磺达肝癸钠(FS)和低分子量肝素(LMWH)对 THA 术后下肢深静脉血栓形成的预防作用:首先,纳入2020年3月至2020年12月在皖南医学院第一附属医院接受THA手术的60例患者。然后,将患者随机分为 LMWH 组(30 人)和 FS 组(30 人)。然后,比较两组患者的深静脉血栓相关指标:具体而言,两组患者的年龄、性别和体重指数(BMI)等基线数据差异无统计学意义。FS组患者的术后负重时间远短于LMWH组:结论:皮下注射 FS 在预防 THA 术后深静脉血栓形成方面的效果不仅优于 LMWH,而且与降低血栓形成风险和改善患者症状相关。
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A Comparison Between Fondaparinux Sodium and Low-Molecular-Weight Heparin in Preventing Patients Undergoing Hip Replacement from Deep Vein Thrombosis.

Objectives: Total hip arthroplasty (THA) is a highly successful and effective surgery for improving hip functions and relieving pain. However, the lower extremities are prone to deep vein thrombosis (DVT) and swelling after surgery, thereby delaying recovery. In this study, we investigated the preventive effects of fondaparinux sodium (FS) and low-molecular-weight heparin (LMWH) on DVT of the lower extremity after THA.

Methods: Firstly, 60 patients who underwent THA at the First Affiliated Hospital of Wannan Medical College from March 2020 to December 2020 were included. Next, the patients were randomly divided into an LMWH group (n = 30) and an FS group (n = 30). Then, the indexes related to DVT were compared between both groups.

Results: Specifically, the differences in baseline data, such as age, gender and body mass index (BMI), between the two groups were not statistically significant. The postoperative weight bearing time of patients in the FS group was much shorter than that in the LMWH group.

Conclusion: Subcutaneous injection of FS not only exhibits superior effects to LMWH in preventing DVT after THA but also has a correlation with reducing the risk of thrombosis and improving patient symptoms.

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来源期刊
CiteScore
3.40
自引率
0.00%
发文量
67
审稿时长
>12 weeks
期刊介绍: The Journal of Musculoskeletal and Neuronal Interactions (JMNI) is an academic journal dealing with the pathophysiology and treatment of musculoskeletal disorders. It is published quarterly (months of issue March, June, September, December). Its purpose is to publish original, peer-reviewed papers of research and clinical experience in all areas of the musculoskeletal system and its interactions with the nervous system, especially metabolic bone diseases, with particular emphasis on osteoporosis. Additionally, JMNI publishes the Abstracts from the biannual meetings of the International Society of Musculoskeletal and Neuronal Interactions, and hosts Abstracts of other meetings on topics related to the aims and scope of JMNI.
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