仿生物电技术在预防老年患者妇科腹腔镜术后下肢深静脉血栓形成的临床研究
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摘要
目的观察仿生物电技术在预防妇科腹腔镜术后老年患者下肢静脉血栓形成中的作用,以探索一种安全、高效的预防方法。方法选取妇科腹腔镜术后≥60岁患者120例,随机分为A组(常规护理组)、B组(医用弹力袜组)、C组(仿生物电技术组)各40例,于术后3d评估凝血指标、血液流变学指标及左侧股总静脉血流速度。结果术后3dC组凝血酶原时间(prothrombin time,PT)、部分凝血酶原时间(activated partial thromboplas tintime,APTT)高于A、B组,D-二聚体低于A、B组,B组PT和D-二聚体高于A组(P<0.05),B组与C组APTT差异无统计学意义(P>0.05)。C组血浆黏度、红细胞压积和血小板黏附率低于A组及B组,B组血浆黏度、红细胞压积和血小板黏附率均低于A组(P<0.05)。C组股总静脉血流速度大于A、B组,B组大于A组(P<0.05)。3组股总静脉内径值差异无统计学意义(P>0.05)。结论仿生物电技术能加快患者下肢血流速度,改善妇科腹腔镜术后高龄患者血液高黏状态,可有效预防老年患者术后深静脉血栓形成。
Objective To assess the value of biomimetic electrical technique in the prevention of lower deep venous thrombosis in eldly patien after gynaecological laparoscope,and thereby explore a safe and effective prophylaxis method.Methods This study included 120 eldly patients over 60 years of age after gynaecological laparoscope.The patients were divided randomly into group A(routine nursing group),group B(elastic sock group)and group C(biomimetic electrical technique group).The blood flow velocity and changes in hemodynamics of the patient were determined and compared among the 3groups.Results Prothrombin time(PT),activated partial thromboplas tintime(APTT)of group C are higher than that of group A and B in 3days after operation,D-dimer is lower than group A and B.PT,D-dimer of group B is higher than that of group A(P<0.05).APTT of group B was no statistically significant difference compared with group C(P>0.05).Plasma viscosity,erythrocyte deposited and platelet adhesion rate of group C is lower than that of group A and group B.Blood plasma viscosity,Blood plasma viscosity,erythrocyte deposited and platelet adhesion rate of group B are lower than that of group A(P<0.05).Shares always venous blood flow velocity of group C is greater than that of group A and group B,group B greater than that of group A(P<0.05).Stock total vein diameter of three groups value differences have no statistical significance(P>0.05).Conclusion Biomimetic electrical technique in eldly patients after gynaecological laparoscope can accelerate the blood flow velocity in the lower limb deep veins and improve blood height glutinous condition to effectively prevent deep venous thrombosis.
Objective To assess the value of biomimetic electrical technique in the prevention of lower deep venous thrombosis in eldly patien after gynaecological laparoscope,and thereby explore a safe and effective prophylaxis method.Methods This study included 120 eldly patients over 60 years of age after gynaecological laparoscope.The patients were divided randomly into group A(routine nursing group),group B(elastic sock group)and group C(biomimetic electrical technique group).The blood flow velocity and changes in hemodynamics of the patient were determined and compared among the 3groups.Results Prothrombin time(PT),activated partial thromboplas tintime(APTT)of group C are higher than that of group A and B in 3days after operation,D-dimer is lower than group A and B.PT,D-dimer of group B is higher than that of group A(P<0.05).APTT of group B was no statistically significant difference compared with group C(P>0.05).Plasma viscosity,erythrocyte deposited and platelet adhesion rate of group C is lower than that of group A and group B.Blood plasma viscosity,Blood plasma viscosity,erythrocyte deposited and platelet adhesion rate of group B are lower than that of group A(P<0.05).Shares always venous blood flow velocity of group C is greater than that of group A and group B,group B greater than that of group A(P<0.05).Stock total vein diameter of three groups value differences have no statistical significance(P>0.05).Conclusion Biomimetic electrical technique in eldly patients after gynaecological laparoscope can accelerate the blood flow velocity in the lower limb deep veins and improve blood height glutinous condition to effectively prevent deep venous thrombosis.
引文
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[11]屈远新,黄志虎.舒筋活络汤加减联合肝素抗凝对髋关节置换术后凝血功能的影响[J].现代中西医结合杂志,2016,25(4):413-415.
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[13]郝青,李卫军,郭建华,等.综合预防下肢深静脉血栓形成在老年人腹腔镜胆囊切除术中的应用价值[J].河北北方学院学报:自然科学版,2015,31(1):95-96.
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[15]苏黎,吴梅,夏荣,等.老年消化道肿瘤患者PICC术后穴位电刺激预防深静脉血栓的效果分析[J].中南医学科学杂志,2012,40(3):318-321.
[16]孟国永,杨守和,俞佳峰.脉冲电刺激承筋穴、地机穴对下肢深静脉血流动力学指标的影响[J].中医正骨,2014,26(8):54-55.
[17]刘萍,雷震,杨丽琴,等.妇科腹腔镜术中使用周期性充气压力泵预防深静脉血栓的观察[J].护理学报,2012,19(1A):53-55.
[18]唐玲,高梅华,李文洲.妇科手术患者深静脉血栓形成的护理预防措施[J].福建医药杂志,2015,37(1):167-168.
[19]张诚娟,丁贺丽.妇科手术预防静脉血栓栓塞性疾病的护理[J].中国现代药物应用,2013,7(20):207-208.
[20]陈艳.间歇式冲气压力抗栓泵对腹腔镜术后病人深静脉血栓形成预防效果[J].中国中西医结合外科杂志,2015,21(6):617-618.
[21]王丽萍,郭丽娜,王秀艳.仿生物电技术对宫颈癌患者术后康复效果的影响[J].中国肿瘤临床与康复,2016,23(3):369-371.
[22]郝青,李卫军,王晶,等.电动按摩器预防老年腹腔镜胆囊切除术患者术后下肢静脉血栓的临床研究[J].河北医药,2014,36(23):3595-3597.
[23]陈洁瑜,黄丽华.深静脉血栓的预防新进展[J].护理与康复,2014,13(11):1040-1043.
[24]Broderick BJ,O'Briain DE,Breen PP,et al.A pilot evaluation of a neuromuscular electrical stimulation(NMES)based methodology for the prevention of venous stasis during bed rest[J].Med Eng Phys,2010,32(4):349-355.
[25]韩运琼.循证护理用于下肢骨折护理中对下肢静脉血栓等并发症的影响[J/CD].世界最新医学信息文摘:连续型电子期刊,2016,16(94):407-408.
[2]任玉腾.髋部骨折围手术期抗栓药物处理的研究进展[J].河北医科大学学报,2016,37(5):610-613.
[3]叶为群,凌琳,李学华,等.围手术期干预对高危人群妇科盆腔手术后下肢深静脉血栓的预防作用[J].中国现代医学杂志,2014,24(7):76-79.
[4]李秀婷,陈娟,赵书娥,等.骨科围手术期并发脑梗死患者危险因素识别与预防策略[J].河北医科大学学报,2016,37(7):831-833.
[5]王雪,石志平,徐志芳,等.血管内皮细胞衰老的研究进展[J].河北医科大学学报,2015,36(6):738-742.
[6]徐瑞娟,林鑫,姚尧,等.下肢关节手术后静脉血栓风险因素及评估体系分析[J].药学与临床研究,2016,24(2):154-157.
[7]张联玲.妇科肿瘤术后静脉血栓栓塞性疾病诊治及预防的研究进展[J/CD].世界最新医学信息文摘:连续型电子期刊,2016,16(44):32.
[8]马爱玲.探究中西医结合对于妇产科术后血栓性静脉炎疾病的疗效[J].中西医结合心血管病杂志,2015,3(19):54-55.
[9]徐建杰,武建忠,董志辉,等.低分子肝素、间歇性充气加压装置预防脊柱手术后静脉栓塞症的疗效比较[J].现代中西医结合杂志,2016,25(7):738-740.
[10]徐金海,马长山,潘长鸣.穴位电刺激对骨科围手术期(气滞血瘀证)患者血液流变学及凝血指标的影响[J].中国中医急症,2016,25(1):139-141.
[11]屈远新,黄志虎.舒筋活络汤加减联合肝素抗凝对髋关节置换术后凝血功能的影响[J].现代中西医结合杂志,2016,25(4):413-415.
[12]徐金海,潘长鸣,马长山.穴位电刺激联合补阳还五汤预防骨科大手术后患者下肢深静脉血栓的效果[J].临床合理用药,2016,9(3):131-133.
[13]郝青,李卫军,郭建华,等.综合预防下肢深静脉血栓形成在老年人腹腔镜胆囊切除术中的应用价值[J].河北北方学院学报:自然科学版,2015,31(1):95-96.
[14]姚世新,王平.下肢深静脉血栓形成的诊治现状[J].中国社区医师:医学专业,2012,14(5):88-89.
[15]苏黎,吴梅,夏荣,等.老年消化道肿瘤患者PICC术后穴位电刺激预防深静脉血栓的效果分析[J].中南医学科学杂志,2012,40(3):318-321.
[16]孟国永,杨守和,俞佳峰.脉冲电刺激承筋穴、地机穴对下肢深静脉血流动力学指标的影响[J].中医正骨,2014,26(8):54-55.
[17]刘萍,雷震,杨丽琴,等.妇科腹腔镜术中使用周期性充气压力泵预防深静脉血栓的观察[J].护理学报,2012,19(1A):53-55.
[18]唐玲,高梅华,李文洲.妇科手术患者深静脉血栓形成的护理预防措施[J].福建医药杂志,2015,37(1):167-168.
[19]张诚娟,丁贺丽.妇科手术预防静脉血栓栓塞性疾病的护理[J].中国现代药物应用,2013,7(20):207-208.
[20]陈艳.间歇式冲气压力抗栓泵对腹腔镜术后病人深静脉血栓形成预防效果[J].中国中西医结合外科杂志,2015,21(6):617-618.
[21]王丽萍,郭丽娜,王秀艳.仿生物电技术对宫颈癌患者术后康复效果的影响[J].中国肿瘤临床与康复,2016,23(3):369-371.
[22]郝青,李卫军,王晶,等.电动按摩器预防老年腹腔镜胆囊切除术患者术后下肢静脉血栓的临床研究[J].河北医药,2014,36(23):3595-3597.
[23]陈洁瑜,黄丽华.深静脉血栓的预防新进展[J].护理与康复,2014,13(11):1040-1043.
[24]Broderick BJ,O'Briain DE,Breen PP,et al.A pilot evaluation of a neuromuscular electrical stimulation(NMES)based methodology for the prevention of venous stasis during bed rest[J].Med Eng Phys,2010,32(4):349-355.
[25]韩运琼.循证护理用于下肢骨折护理中对下肢静脉血栓等并发症的影响[J/CD].世界最新医学信息文摘:连续型电子期刊,2016,16(94):407-408.