摘要
目的探讨应用动静脉足泵对腰椎手术患者发生下肢深静脉血栓的预防效果。方法选取2015年4月至2016年3月接受脊柱手术治疗的139例脊柱病变患者，按照随机数字表法分为试验组69例和对照组70例。对照组给予常规护理指导，试验组术后超声检查结果为阴性者即进行动静脉足泵物理治疗。对出现症状和/或高度怀疑深静脉血栓的患者进行二次超声或CT检查以进一步确诊，统计2组患者深静脉血栓的发生率。结果139例患者中共有4例在术后2~6 d发生了深静脉血栓，其中试验组1例，对照组3例，与对照组相比，试验组患者发生下肢深静脉血栓的概率明显降低，但差异无统计学意义（P〉0.05）。发生与未发生下肢深静脉血栓的患者手术时间分别为（5.00 ± 0.82）、（3.16 ± 0.66）h，体质量指数分别为（30.54 ± 3.93）、（24.90 ± 2.62）kg/m2，差异有统计学意义（t=5.44、4.19，P〈0.01）。结论应用动静脉足泵对于预防腰椎术后深静脉血栓的发生具有积极的意义，值得进一步推广应用。
ObjectiveTo explore the application of A-V impulse foot pump in patients with lumbar spine surgery to prevent lower extremity deep venous thrombosis.
MethodsA total of 139 patients with spinal lesions who took spinal surgery treatment from April 2015 to March 2016 were divided into experimental group （69 cases） and control group （70 cases） by random digits table method. Control group was given normal nursing instruction, and the person who had negative results of B ultrasonic examination in experimental group was accepted physical therapy with A-V impulse foot pump. The patients got secondary ultrasound or CT examination who had the deep venous thrombosis symptoms and/or highly suspected deep venous thrombosis in order to further confirmed, then calculated the incidence rate of two groups with deep venous thrombosis.ResultsThere were 4 cases of 139 patients who got deep venous thrombosis in 2-6 days of postoperative, 1 case in experimental group, 3 case in control group, compared with control group, patients who used A-V impulse foot pump had lower risk of deep venous thrombosis, but there was no significant difference （P〉0.05）. The operation time, body mass index were （5.00±0.82） h, （30.54±3.93） kg/m2 in patients with deep venous thrombosis and （3.16±0.66） h, （24.90±2.62） kg/m2 in patients without deep venous thrombosis, and there were significant differences（t=5.44, 4.19, P〈0.01）.ConclusionsThe application of A-V impulse foot pump has positive significance to prevent the happening of deep venous thrombosis for patients who took spinal surgery, and it is worth to be popularized and applied in clinic.
作者
丁雪芹
于守梅
姜霞霞
邹茹
王淑玉
王慧敏
柳红
Ding Xueqin Yu Shoumei Jiang Xiaxia Zou Ru Wang Shuyu Wang Huimin Liu Hong(~Department of Spine Surgery, Yantaishan Hospital, Yantai City, Shandong Province, Yantai 264001, China)
出处
《中国实用护理杂志》
2017年第25期1952-1955,共4页
Chinese Journal of Practical Nursing
关键词
静脉血栓形成
动静脉足泵
腰椎术后
Venous thrombosis
A-V impulse foot pump
Spinal surgery
