下肢间歇性充气装置在关节置换围术期的应用现状△

Current application of intermittent pneumatic compression device on lower extremities during perioperative period of major arthroplasty

摘要:

下肢深静脉血栓 (deep venous thrombosis, DVT) 是关节置换围手术期常见且严重的并发症，下肢间歇性充气装置 (intermittent pneumatic compression, IPC)，可降低关节置换围术期下肢深静脉血栓形成的风险，且不增加肺栓塞事件的发生率。 但目前临床对于关节置换围术期，在间歇性充气装置的选择设备类型、使用时间、使用频率及强度等方面，尚无统一标准。本文就关节置换围术期，下肢间歇性充气装置最新应用现状进行综述，为临床工作提供参考。

Abstract:

Deep venous thrombosis (DVT) is a common and serious complication during the perioperative period of major arthroplasty. The intermittent pneumatic compression device (IPC) has been proved to reduce the risk and prevent lower extremity DVT during the perioper- ative period of joint replacement without increasing the incidence of pulmonary embolism events. However, there is no unified standard for the selection of IPC in terms of equipment type, use time, use frequency and strength during the perioperative period of joint replacement. This ar- ticle reviews the latest application status of IPC in the perioperative period of joint replacement to provide a reference for clinical work.