摘要
目的探讨体位干预结合踝关节运动对下肢静脉曲张术后患者深静脉血栓(DVT)的预防作用。方法选取单侧下肢静脉曲张手术患者100例作为研究对象,按随机数字表法将其分为对照组和研究组,每组50例。对照组患者术后采用常规护理,研究组患者在此基础上采用体位干预结合踝关节运动的干预措施。比较2组患者干预前后凝血酶原时间(PT),活化部分凝血活酶时间(aPTT),D-二聚体(D-D),血流平均速度、血流量,大腿周径、小腿周径、肿胀指数。结果干预后,研究组患者PT(12.81±1.92)s、aPTT(29.97±3.28)s高于对照组患者(10.62±1.77)s、(26.71±3.04)s,差异有统计学意义(P<0.05)。研究组患者D-D(424.71±63.54)μg/L低于对照组患者(518.26±61.64)μg/L,差异有统计学意义(P<0.05);研究组患者血流平均速度(32.57±3.24)cm/s、血流量(1.91±0.17)L/min高于对照组患者(24.51±2.92)cm/s、(1.41±0.13)L/min,差异有统计学意义(P<0.05);研究组患者大腿周径(41.71±1.76)cm、小腿周径(24.35±1.32)cm、肿胀指数(4.04±0.33)%,低于对照组患者(44.29±2.08)cm、(28.26±2.37)cm、(4.67±0.44)%,差异有统计学意义(P<0.05)。结论下肢静脉曲张术后患者采用体位干预结合踝关节运动可改善患者凝血功能及血流动力学指标,缓解其下肢肿胀程度,对DVT的发生具有一定的预防作用。
Objective To investigate the preventive effects of postural intervention combined with ankle exercise on the incidence of deep venous thrombosis(DVT)in patients undergoing varicose vein surgery.Methods One hundred patients who underwent unilateral lower extremity varicose vein surgery in our hospital were randomly divided into two groups,with 50 cases in each group.The patients in control group were treated by routine nursing after operation,however,those in research group,on the basis of control group,were treated by postural intervention combined with ankle joint movement.The prothrombin time(PT),activated partial thromboplastin time(aPTT),D-dimer(D-D),mean blood flow velocity,blood flow,thigh circumference,calf circumference,and swelling index before and after the intervention were observed and compared between the two groups.Resutls After the intervention,the PTc and aPTT in research group were significantly higher than those in control group(P<0.05),however,the D-D levels in research group were significantly lower than those in control group(P<0.05),And the blood flow velocity and blood flow volume in research group were significantly higher than those in control group(P<0.05),but,the thigh circumference,leg circumference and swelling index in research group were significantly lower than those in control group(P<0.05),Conclusion The postural intervention combined with ankle movement measures can improve the coagulation function and hemodynamic parameters,relieve lower limb swelling,and prevent the occurrence of DVT in patients undergoing varicose vein surgery.
作者
毕如云
BI Ruyun(Department of Vascular Surgery,Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 100050,China)
出处
《河北医药》
CAS
2022年第4期546-549,共4页
Hebei Medical Journal
关键词
下肢静脉曲张
体位干预
踝关节运动
深静脉血栓
varicose veins of the lower limbs
postural intervention
ankle exercise
deep vein thrombosis
