医用弹力袜联合气压治疗仪预防老年患者腹腔镜手术后下肢深静脉血栓的效果(1)
[摘要]目的 探討医用弹力袜联合气压治疗仪预防老年患者腹腔镜手术后下肢深静脉血栓(DVT)的效果。方法 选取2016年10月～2018年10月于我院行腹腔镜手术的90例老年患者作为研究对象，按照随机数字表法分为对照组和观察组，每组各45例。对照组予以传统临床护理路径，观察组予以医用弹力袜联合气压治疗仪。比较两组的血液流变学指标、下肢深静脉血流速度及DVT发生率。结果 两组干预后的全血黏度、血浆黏度低于术毕，部分凝血活酶时间长于术毕，差异均有统计学意义(P<0.05);观察组干预后的全血黏度、血浆黏度低于对照组，部分凝血活酶时间长于对照组，差异均有统计学意义(P<0.05)。两组干预后的静脉流速和胫后静脉流速高于术毕，差异均有统计学意义(P<0.05);观察组干预后的静脉流速和胫后静脉流速高于对照组，差异均有统计学意义(P<0.05)。观察组术后的DVT发生率低于对照组，差异有统计学意义(P<0.05)。结论 对腹腔镜手术后的老年患者，应用医用弹力袜和气压治疗仪可有效预防下肢深静脉血栓，改善血液流变学指标和下肢深静脉血流速度，值得临床推广应用。
[关键词]医用弹力袜;气压治疗仪;下肢深静脉血栓;腹腔镜手术
[中图分类号] R619+.2 [文献标识码] A [文章编号] 1674-4721(2019)10(c)-0048-04
[Abstract] Objective To investigate the effect of medical elastic socks combined with barometric pressure therapy instrument in preventing lower extremity deep venous thrombosis (DVT) in elderly patients after laparoscopic surgery. Methods Ninety elderly patients who underwent laparoscopic surgery in our hospital from October 2016 to October 2018 were selected as the study subjects， they were divided into control group and observation group according to random number table method， 45 cases in each group. The control group was given traditional clinical nursing pathway， while the observation group was given medical elastic socks combined with pneumatic therapy instrument. The hemorheological parameters， the velocity of deep vein blood flow and the incidence of DVT were compared between the two groups. Results The whole blood viscosity and plasma viscosity of the two groups after intervention were lower than those after operation， and the time of partial thromboplastin was longer than that after operation， the differences were statistically significant (P<0.05). The whole blood viscosity and plasma viscosity of the observation group after intervention were lower than those of the control group， and the time of partial thromboplastin was longer than that of the control group， the differences were statistically significant (P<0.05). The venous flow velocity and the posterior tibial venous flow velocity of the two groups after intervention were higher than those after operation， the differences were statistically significant (P<0.05). The vein velocity and the posterior tibial vein velocity in the observation group after intervention were higher than those in the control group， the differences were statistically significant (P<0.05). The incidence of DVT in the observation group was lower than that in the control group， the difference was statistically significant (P<0.05). Conclusion For elderly patients after laparoscopic surgery， the application of medical elastic socks and barometric therapy instrument can effectively prevent deep venous thrombosis of lower extremities， improve hemorheological parameters and deep venous blood flow velocity of lower extremities， which is worthy of clinical application., http://www.100md.com(姜祖才 姜嘉培 艾锦江)
[关键词]医用弹力袜;气压治疗仪;下肢深静脉血栓;腹腔镜手术
[中图分类号] R619+.2 [文献标识码] A [文章编号] 1674-4721(2019)10(c)-0048-04
[Abstract] Objective To investigate the effect of medical elastic socks combined with barometric pressure therapy instrument in preventing lower extremity deep venous thrombosis (DVT) in elderly patients after laparoscopic surgery. Methods Ninety elderly patients who underwent laparoscopic surgery in our hospital from October 2016 to October 2018 were selected as the study subjects， they were divided into control group and observation group according to random number table method， 45 cases in each group. The control group was given traditional clinical nursing pathway， while the observation group was given medical elastic socks combined with pneumatic therapy instrument. The hemorheological parameters， the velocity of deep vein blood flow and the incidence of DVT were compared between the two groups. Results The whole blood viscosity and plasma viscosity of the two groups after intervention were lower than those after operation， and the time of partial thromboplastin was longer than that after operation， the differences were statistically significant (P<0.05). The whole blood viscosity and plasma viscosity of the observation group after intervention were lower than those of the control group， and the time of partial thromboplastin was longer than that of the control group， the differences were statistically significant (P<0.05). The venous flow velocity and the posterior tibial venous flow velocity of the two groups after intervention were higher than those after operation， the differences were statistically significant (P<0.05). The vein velocity and the posterior tibial vein velocity in the observation group after intervention were higher than those in the control group， the differences were statistically significant (P<0.05). The incidence of DVT in the observation group was lower than that in the control group， the difference was statistically significant (P<0.05). Conclusion For elderly patients after laparoscopic surgery， the application of medical elastic socks and barometric therapy instrument can effectively prevent deep venous thrombosis of lower extremities， improve hemorheological parameters and deep venous blood flow velocity of lower extremities， which is worthy of clinical application., http://www.100md.com(姜祖才 姜嘉培 艾锦江)