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
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国家自然科学基金(青年科学基金)项目(81500417)


Usage of intermittent inflation device versus medical elastic stockings during laparoscopic surgery in prevention of deep vein thrombosis in the lower extremities
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    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2hPT、tPA-Ag值显著高于对照组(均P<0.01);术后24hPT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。

    Abstract:

    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.

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苗素琴,吕德珍,段雅君,王刚.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[J].护理学杂志,2019,34(7):36-38

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  • 收稿日期:2018-11-09
  • 最后修改日期:2019-02-25
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  • 在线发布日期: 2022-08-09