间歇式充气加压仪在预防截石位手术患者下肢深静脉血栓中的作用
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摘要
目的:探讨间歇式充气加压仪在预防截石位手术患者下肢深静脉血栓(DVT)的作用。方法:选择我院2015年1~12月实施截石位择期手术的患者100例,将其随机等分为观察组和对照组。对照组采用医用加压弹力袜预防下肢深静脉血栓,观察组采用Kendall SCD自动充气加压装置预防下肢深静脉血栓。结果:术后3 d,观察组患者的下肢静脉的血流速度和血流量均高于对照组,差异具有统计学意义(P<0.05);术后7 d,观察组患者的血流速度和血流量均高于对照组,差异均具有统计学意义(P<0.05)。术后7 d,观察组的深静脉血栓发生率均显著低于对照组(P<0.05)。结论:在常规护理的基础上,给予间歇式充气加压仪,有助于改善患者的静脉回流,对预防截石位患者术后DVT具有很好的应用价值,值得临床推广应用。
Objective: To explore the effect of intermittent pneumatic pressure instrument in prevention of deep venous thrombosis( DVT) in patients undergoing lithotomy postural surgery. Methods: Selected 100 patients who underwent elective lithotomy postural surgery in our hospital from January 2015 to December 2015 and randomly divided them into observation group and control group. The control group was treated with medical compression stockings to prevent DVT of lower limbs. The observation group used Kendall SCD automatic inflating and pressurizing device to prevent deep venous thrombosis of lower limbs. Results: At 3 days after the operation,the blood flow velocity and blood flow of the lower limb veins in the observation group were significantly higher than those in the control group( P < 0. 05). At 7 days after the operation,blood flow velocity and blood flow of the observation group were higher than that of the control group. The difference was statistically significant( P < 0. 05). At 7 days after the operation,the incidence of DVT in the observation group was significantly lower than that in the control group( P < 0. 05). Conclusion: On the basis of routine nursing,it is helpful to improve the venous return of the patients. It is worthy to be popularized and used in clinical application to prevent the postoperative DVT of lithotomy postural surgery patients.
Objective: To explore the effect of intermittent pneumatic pressure instrument in prevention of deep venous thrombosis( DVT) in patients undergoing lithotomy postural surgery. Methods: Selected 100 patients who underwent elective lithotomy postural surgery in our hospital from January 2015 to December 2015 and randomly divided them into observation group and control group. The control group was treated with medical compression stockings to prevent DVT of lower limbs. The observation group used Kendall SCD automatic inflating and pressurizing device to prevent deep venous thrombosis of lower limbs. Results: At 3 days after the operation,the blood flow velocity and blood flow of the lower limb veins in the observation group were significantly higher than those in the control group( P < 0. 05). At 7 days after the operation,blood flow velocity and blood flow of the observation group were higher than that of the control group. The difference was statistically significant( P < 0. 05). At 7 days after the operation,the incidence of DVT in the observation group was significantly lower than that in the control group( P < 0. 05). Conclusion: On the basis of routine nursing,it is helpful to improve the venous return of the patients. It is worthy to be popularized and used in clinical application to prevent the postoperative DVT of lithotomy postural surgery patients.
引文
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[7]詹芳,林瑞娇,查全萍,等.间歇式充气加压预防直肠癌术后下肢深静脉血栓的效果研究[J].结直肠肛门外科,2015(4):229-232.
[8]秦德华,山慈明,杜书明,等.改良式小腿腿套预防截石位手术患者深静脉血栓形成的效果观察[J].护士进修杂志,2015(14):1302-1303
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[10]叶春丽,祝研华,张绿云,等.间歇式充气加压仪预防肠癌根治术患者下肢深静脉血栓效果[J].贵阳中医学院学报,2015,37(5):75-77.
[11]李燕华,彭翠香.间歇式充气压力泵预防膝关节置换术后下肢深静脉血栓形成的护理[J].中医学报,2013(B12):287-288.
[12]李荞,张川,曾薇.间歇充气加压预防重症患者下肢深静脉血栓的护理体会[J].现代临床医学,2011,37(3):215-216.
[2]李俊梅,李芸,魏芳.间歇式充气压力治疗仪预防下肢深静脉血栓的效果[J].中华现代护理杂志,2009,15(36):3888-3889.
[3]Callanan MC,Jarrett B,Bragdon CR,et al.The John Charnley Award:risk factors for cup malpositioning:quality improvement through a joint registry at a tertiary hospital[J].Clinical Orthopaedics&Related Research,2011,469(2):319-329.
[4]王剑平,林雨冬,王烈,等.间歇充气加压对直肠癌术后凝血功能和下肢深静脉血流动力学的影响[J].中华胃肠外科杂志,2013,16(8);739-743.
[5]朱敏,丁修龙,张建华.低分子量肝素联合间歇充气加压预防腰椎术后静脉血栓形成[J].中国医师进修杂志,2014,37(20):66-68.
[6]黄一乐,胡文娟,陈哲颖,等.间歇式充气加压仪在预防围术期深静脉血栓中的应用[J].护理研究,2013,27(14):1374-1375.
[7]詹芳,林瑞娇,查全萍,等.间歇式充气加压预防直肠癌术后下肢深静脉血栓的效果研究[J].结直肠肛门外科,2015(4):229-232.
[8]秦德华,山慈明,杜书明,等.改良式小腿腿套预防截石位手术患者深静脉血栓形成的效果观察[J].护士进修杂志,2015(14):1302-1303
[9]Sachdeva A,Desai M,MorrisRW,et al.Knee length versus thigh length graduated compression stockings for prevention of deep vein thrombosis in postoperative surgical patients[J].Cochrane Database Syst Rev,2014,17(12):CD001484.
[10]叶春丽,祝研华,张绿云,等.间歇式充气加压仪预防肠癌根治术患者下肢深静脉血栓效果[J].贵阳中医学院学报,2015,37(5):75-77.
[11]李燕华,彭翠香.间歇式充气压力泵预防膝关节置换术后下肢深静脉血栓形成的护理[J].中医学报,2013(B12):287-288.
[12]李荞,张川,曾薇.间歇充气加压预防重症患者下肢深静脉血栓的护理体会[J].现代临床医学,2011,37(3):215-216.