目的：主要针对髋部骨折围手术期采用物理措施预防血栓形成的有效及安全性。方法整群选取于2013年7月-2014年8月该院收治就诊的192例符合手术条件的患者作为主要研究对象，并按照随机数字表法将其划分为甲组与乙组，两组患者各96例；其中甲组患者给予其应用物理措施预防血栓形成的方式加以治疗，而乙组患者则给予其应用低分子肝素钙预防血栓形成加以治疗；对两组患者的深静脉及肺栓塞发生率、出血性并发症发生率加以分析，观察比较两组患者的治疗措施效果。结果甲组96例患者采用物理措施预防血栓形成治疗方式的患者，其血栓形成发生率为8.33%，出血性并发症发生率为2.08%；而乙组96例患者采用低分子肝素钙血栓形成的患者血栓发生率为6.25%，其出血性并发症发生机率为4.17%。两组数据差异无统计学意义(P>0.05)。结论髋部骨折手术后单独采用物理措施来预防血栓形成的预防效果和单独采用低分子肝素预防血栓形成的预防效果相差无几。%Objective To study the effectiveness and safety of physical measures in preventing thrombosis after hip fracture surgery. Methods 192 patients who were admitted to this hospital from July 2013 and August 2014 and met the operation condition were selected as the main research object and were divided into group A and group B according to the random number table method with 96 in each one. The patients in the group A were treated with physical measures to prevent the physical measures, while those in the group B were treated with low-molecular-weight heparin calcium to prevent the physical measures. The rate of deep venous thrombosis and pulmonary embolism, as well as the hemorrhagic complication rate of the patients in the two groups were analyzed, and the effect of the treatment was observed and compared. Results The incidence of thrombosis was 8.33% and hemorrhagic complication rate was 2.08% in the 96 patients of the group A, while those were 6.25% and 4.17% respectively in the group B, and no statistically significant difference can be found be-tween the two groups (P>0.05). Conclusion The effectiveness of physical measures is similar to that of low-molecular-weight heparin calcium in preventing thrombosis after hip fracture surgery.
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