Original Article

Ann Phlebology 2019; 17(2): 55-62

Published online December 31, 2019

© Annals of phlebology

점진적 압박 스타킹과 간헐적 공기 압박기가 신장이식 환자의 심부정맥 혈전증 발생 및 다리부종에 미치는 영향

권경혜1ㆍ고 진2ㆍ정다미1ㆍ권수경1ㆍ김향경1ㆍ박순철1ㆍ윤상섭1

1가톨릭대학교 서울성모병원, 2메디플렉스 세종병원 혈관이식외과

Effects of Graduated Elastic Compression stockings and Intermittent Pneumatic Compression on the Development of Deep Vein Thrombosis and Leg Edema Kidney Transplantation Recipients

Kyung Hye Kwon1, Jin Go2, Da Mi Jung1, Su Kyung Kwon1, Hyang Kyoung Kim1, Sun Chul Park1, Sang Seob Yun1

1Division of Vascular-Transplant Surgery, Seoul St. Mary’s Hospital, The Catholic University, Seoul, Korea, 2Department of Surgery, Division of Vascular and Transplantation, Mediplex Sejong Hospital, Incheon, R.O.K.

Correspondence to : 윤상섭, 서울시 서초구 반포대로 222
㉾ 06591, 가톨릭대학교 서울성모병원 혈관이식외과
Tel: 02-2258-6103, Fax: 02-595-2822
E-mail: ssyun@catholic.ac.kr

Abstract

Purpose: Kidney transplantation recipients are at risk for developing deep vein thrombosis. The purpose of this study was to investigate the effects of application graduated elastic compression stockings and intermittent pneumatic compression on the prevention of deep vein thrombosis.
Methods: A non-equivalent control pretest posttest design was performed. From the day of surgery, a total 36 people were included. 12 control groups who applied only graduated elastic compression stockings for 24 hours, 12 experimental groups (1) who applied both graduated elastic compression stockings and intermittent pneumatic compression for 24 hours, 12 experimental groups (2) who applied graduated elastic compression stockings for 24 hours and intermittent pneumatic compression for 12 hrs (8AM to 8PM). We checked the occurrence of deep vein thrombosis through color Duplex ultrasonography, blood tests, and leg circumference before kidney transplantation, 7 days after surgery, and 13 days after surgery. Also at 28 days after surgery, deep vein thrombosis was checked through color Duplex ultrasonography. Collected data were analyzed using SAS system for Windows V 9.4.
Results: Deep vein thrombosis developed in 13.8% of kidney transplantation recipients when mechanical prophylaxis was applied from the day of surgery. To find out the effect of the application of graduated elastic compression stockings and intermittent pneumatic compression in the control group, the experimental group (1) and the experimental group (2), there was no significant difference between the three groups (p>0.05).
Conclusion: In this study, the additional use of intermittent pneumatic compression to prevent deep vein thrombosis after kidney transplantation showed no significant effect compared with the graduated elastic compression stockings.

Keywords Kidney transplantation, Stocking, Compression, Intermittent pneumatic compression devices, Venous thrombosis

Original Article

Ann Phlebology 2019; 17(2): 55-62

Published online December 31, 2019

Copyright © Annals of phlebology.

점진적 압박 스타킹과 간헐적 공기 압박기가 신장이식 환자의 심부정맥 혈전증 발생 및 다리부종에 미치는 영향

권경혜1ㆍ고 진2ㆍ정다미1ㆍ권수경1ㆍ김향경1ㆍ박순철1ㆍ윤상섭1

1가톨릭대학교 서울성모병원, 2메디플렉스 세종병원 혈관이식외과

Effects of Graduated Elastic Compression stockings and Intermittent Pneumatic Compression on the Development of Deep Vein Thrombosis and Leg Edema Kidney Transplantation Recipients

Kyung Hye Kwon1, Jin Go2, Da Mi Jung1, Su Kyung Kwon1, Hyang Kyoung Kim1, Sun Chul Park1, Sang Seob Yun1

1Division of Vascular-Transplant Surgery, Seoul St. Mary’s Hospital, The Catholic University, Seoul, Korea, 2Department of Surgery, Division of Vascular and Transplantation, Mediplex Sejong Hospital, Incheon, R.O.K.

Correspondence to:윤상섭, 서울시 서초구 반포대로 222
㉾ 06591, 가톨릭대학교 서울성모병원 혈관이식외과
Tel: 02-2258-6103, Fax: 02-595-2822
E-mail: ssyun@catholic.ac.kr

Abstract

Purpose: Kidney transplantation recipients are at risk for developing deep vein thrombosis. The purpose of this study was to investigate the effects of application graduated elastic compression stockings and intermittent pneumatic compression on the prevention of deep vein thrombosis.
Methods: A non-equivalent control pretest posttest design was performed. From the day of surgery, a total 36 people were included. 12 control groups who applied only graduated elastic compression stockings for 24 hours, 12 experimental groups (1) who applied both graduated elastic compression stockings and intermittent pneumatic compression for 24 hours, 12 experimental groups (2) who applied graduated elastic compression stockings for 24 hours and intermittent pneumatic compression for 12 hrs (8AM to 8PM). We checked the occurrence of deep vein thrombosis through color Duplex ultrasonography, blood tests, and leg circumference before kidney transplantation, 7 days after surgery, and 13 days after surgery. Also at 28 days after surgery, deep vein thrombosis was checked through color Duplex ultrasonography. Collected data were analyzed using SAS system for Windows V 9.4.
Results: Deep vein thrombosis developed in 13.8% of kidney transplantation recipients when mechanical prophylaxis was applied from the day of surgery. To find out the effect of the application of graduated elastic compression stockings and intermittent pneumatic compression in the control group, the experimental group (1) and the experimental group (2), there was no significant difference between the three groups (p>0.05).
Conclusion: In this study, the additional use of intermittent pneumatic compression to prevent deep vein thrombosis after kidney transplantation showed no significant effect compared with the graduated elastic compression stockings.

Keywords: Kidney transplantation, Stocking, Compression, Intermittent pneumatic compression devices, Venous thrombosis

AP
Vol.22 No.1 Jun 30, 2024, pp. 1~8

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