摘要
目的探讨弹力袜结合体位管理和踝关节运动在下肢静脉曲张(VVLE)术后患者中的应用效果.方法选择兰陵县人民医院2020年4月—2023年2月收治的82例VVLE患者为研究对象,按随机数字表法将其分为对照组及观察组.两组均行手术治疗,术后,对照组(n=41)采用踝关节运动指导,观察组(n=41)在对照组基础上联合弹力袜结合体位管理,均持续随访2个月.对比两组患者的术后凝血功能、疼痛程度及并发症发生情况.结果观察组护理后的活化部分凝血活酶时间、凝血酶原时间分别为(34.60±4.85)s、(14.30±2.42)s,均长于对照组的(30.36±4.11)s、(12.87±2.36)s,纤维蛋白原水平为(2.69±0.64)g/L,低于对照组的(3.76±0.71)g/L,组间差异有统计学意义(P﹤0.05).观察组护理后的疼痛视觉模拟评分为(1.51±0.36)分,低于对照组的(3.26±0.67)分,差异有统计学意义(P﹤0.05).观察组的并发症发生率为4.88%,低于对照组的19.51%,差异有统计学意义(P﹤0.05).结论弹力袜结合体位管理和踝关节运动能改善VVLE术后患者的凝血功能,减轻其疼痛程度,降低并发症发生率.
Objective To investigate the effect of elastic socks combined with position management and ankle joint exercise in patients with varicose veins of lower extremity(VVLE)after surgery.Methods 82 VVLE patients admitted to Lanling County People's Hospital from April 2020 to February 2023 were selected as the study objects and divided into a control group and an observation group according to random number table method.Both groups received surgery.After surgery,the control group(n=41)received the guidance of ankle joint exercise,and the observation group(n=41)combined with the elastic socks and position management on the basis of the control group.Both groups were followed up for 2 months.The postoperative coagulation function,pain degree and complications were compared between the two groups.Results The activated partial thromboplastin time and prothrombin time of the observation group after nursing were(34.60±4.85)s and(14.30±2.42)s,respectively,which were longer than(30.36±4.11)s and(12.87±2.36)s of the control group,and the fibrinogen level was(2.69±0.64)g/L,which was lower than(3.76±0.71)g/L of the control group,and the differences between the groups were statistically significant(P﹤0.05).The pain Visual Analogue Scale score of the observation group was(1.51±0.36)points,which was lower than(3.26±0.67)points of the control group,and the difference was statistically significant(P﹤0.05).The incidence of complications in the observation group was 4.88%,lower than 19.51%in the control group,and the difference was statistically significant(P﹤0.05).Conclusion Elastic socks combined with position management and ankle joint exercise can improve the coagulation function,reduce the degree of pain and the incidence of complications in patients after VVLE.
作者
郭军
GUO Jun(Department of Thoracic and Cardiovascular Surgery,Lanling County People's Hospital,Linyi Shandong,277700,China)
出处
《反射疗法与康复医学》
2024年第1期89-92,共4页
Reflexology And Rehabilitation Medicine
关键词
下肢静脉曲张
弹力袜
体位管理
踝关节运动
凝血功能
疼痛程度
Varicose veins of lower extremity
Elastic socks
Position management
Ankle joint exercise
Coagulation function
Pain degree
作者简介
郭军(1974-),女,山东临沂人,本科,副主任护师,研究方向:外科疾病护理。
