间歇充气装置与医用弹力袜预防腹腔镜手术患者下肢深静脉血栓效果比较被引量：37

Usage of intermittent inflation device versus medical elastic stockings during laparoscopic surgery in prevention of deep vein thrombosis in the lower extremities

在线阅读下载PDF

导出

摘要目的比较间歇充气装置与医用弹力袜预防腹腔镜手术患者下肢深静脉血栓的效果。方法将腹腔镜胃肠道肿瘤切除手术患者200例按照时间顺序分组,对照组(2016年1月至2017年1月)100例术中采用医用弹力袜预防深静脉血栓,观察组(2017年2月至2018年2月)100例术中使用间歇充气装置,观察两组下肢深静脉血栓发生率、持续时间及手术前后凝血/纤溶指标变化。结果观察组下肢深静脉血栓发生率显著低于对照组,下肢深静脉血栓持续时间显著短于对照组(P<0.05,P<0.01)。观察组手术开始2 h PT、tPA-Ag值显著高于对照组(均P<0.01);术后24 h PT值显著低于对照组(P<0.01),ATTP、tPA-Ag值与对照组差异无统计学意义(均P>0.05)。结论术中间歇充气可有效降低患者下肢深静脉血栓发生率,改善凝血/纤溶指标。 Objective To compare the effect of using intermittent inflation devices and medical elastic stockings during laparoscopic surgery on the prevention of deep vein thrombosis(DVT) in the lower extremities.Methods A total of 100 patients who wore medical elastic stockings during laparoscopic gastrointestinal tumor resection to prevent DVT with in the period from January 2016 to January 2017 were selected as the control group. Another 100 patients using an intermittent inflation device during the same kind of surgery from February, 2017 to February, 2018 were enrolled into the observation group. The incidence rates of DVT in the lower extremities, length of time of DVT, and the changes of coagulation/fibrinolysis index before and after surgery in the 2 groups were compared.Results The incidence rate of DVT in the observation group was lower, and the length of time of DVT was shorter, than those in the control group(P<0.05,P<0.01).The values of PT and tPA-Ag in the observation group were significantly higher than those in the control group 2 h after the start of surgery(P<0.01 for both);the values of PT at 24 hours after the surgery in the observation group was significantly lower than the control group(P<0.01), while the values of ATTP, tPA-Ag had no significant difference between the 2 groups(P>0.05 for all).Conclusion Intraoperative intermittent inflation can effectively reduce the incidence rate of DVT in the lower extremities and improve the coagulation/fibrinolysis index.

作者苗素琴吕德珍段雅君王刚 Miao Suqin;Lv Dezhen;Duan Yajun;Wang Gang(Department of Anesthesiology, General Hospital of the East China Military Command,Nanjing 210002,China)

机构地区中国人民解放军南京总医院麻醉科

出处《护理学杂志》 CSCD 北大核心 2019年第7期36-38,共3页 Journal of Nursing Science

基金国家自然科学基金(青年科学基金)项目(81500417)

关键词手术下肢深静脉血栓间歇充气装置医用弹力袜预防效果 surgery deep vein thrombosis in the lower limb intermittent inflation device medical elastic stockings: prevention effect

分类号 R472.3 [医药卫生—护理学]

作者简介苗素琴:女,本科,主管护师;通信作者:吕德珍.xlxrgrfel63. com.