《血管与腔内血管外科杂志》2024年2月第10卷第2期JournalofVascularandEndovascularSurgeryVol.10,No.2,Feb2024•临床研究•低分子量肝素与阿哌沙班对髋关节置换术后下肢深静脉血栓的预防价值比较△方钧1，李明星2，杨培伟1，赵枫1，张冬福11联勤保障部队第九一〇医院骨科，福建泉州3620002联勤保障部队第九一〇医院普外科，福建泉州362000摘要：目的探讨低分子量肝素与阿哌沙班对髋关节置换术后下肢深静脉血栓（DVT）的预防价值。方法收集2020年6月至2022年12月于联勤保障部队第九一〇医院住院接受髋关节置换术的217例患者的临床资料，按照使用药物的不同将其分为低分子肝素组（n=113）和阿哌沙班组（n=104）。比较两组患者的手术相关指标、术后住院期间下肢DVT发生率以及其他并发症发生率。结果两组患者手术时间、麻醉方式、术中出血量、术后住院期间治疗方法比较，差异均无统计学意义（P﹥0.05）。两组患者术后下肢DVT发生率、其他并发症发生率比较，差异均无统计学意义（P﹥0.05）。结论低分子肝素与阿哌沙班均可以安全、有效降低髋关节置换术后下肢DVT的发生率，值得临床推广应用。关键词：髋关节置换术；深静脉血栓；低分子肝素；阿哌沙班；预防中图分类号：R543文献标识码：Adoi:10.19418/j.cnki.issn2096-0646.2024.02.19Comparisonofthepreventivevalueoflowmolecularweightheparinandapixabanforlowerextremitydeepveinthrombosisafterhipjointreplacementsurgery△FangJun1,LiMingxing2,YangPeiwei1,ZhaoFeng1,ZhangDongfu11DepartmentofOrthopedics,the910thHospitalofthePeople'sLiberationArmy,Quanzhou362000,Fujian,China2DepartmentofGeneralSurgery,the910thHospitalofthePeople'sLiberationArmy,Quanzhou362000,Fujian,ChinaAbstract:ObjectiveToinvestigatethepreventivevalueoflowmolecularweightheparinandapixabanonlowerextremitydeepveinthrombosis(DVT)afterhipjointreplacementsurgery.MethodClinicaldataof217patientswhounderwenthipreplacementatthe910thHospitalofthePeople'sLiberationArmyfromJune2020toDecember2022werecollectedanddividedintolowmolecularweightheparingroup(n=113)andapoxabangroup(n=104)accordingtodruguse.Theoperation-relatedindexes,theincidenceofDVTandothercomplicationsduringpostoperativehospitalizationwerecomparedbetweenthetwogroups.ResultTherewerenosignificantdifferenc...
