摘要
目的探讨下肢穴位贴敷加手法按摩预防骨科术后深静脉血栓的临床效果。方法 56例行骨折手术患者,随机分为观察组和对照组,每组28例。对照组患者采取常规护理,观察组患者在对照组基础上采取下肢穴位贴敷加手法按摩措施,比较两组患者的治疗效果。结果干预前,两组患者D-二聚体、活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)比较,差异无统计学意义(P>0.05);对照组患者干预前后D-二聚体、APTT、PT比较,差异无统计学意义(P>0.05);观察组患者干预后D-二聚体、APTT、PT优于对照组,差异具有统计学意义(P<0.05)。治疗10 d后,观察组深静脉血栓发生率为3.6%,对照组为21.4%,比较差异有统计学意义(P<0.05)。对照组患者治疗期间护理满意度为75.0%,观察组为96.4%,比较差异有统计学意义(P<0.05)。结论下肢穴位贴敷加手法按摩能有效预防骨科术后深静脉血栓,改善凝血指标,提高患者治疗期间护理满意度,值得临床推广。
Objective To discuss the clinical effect of lower extremity acupoint application and manual massage for prevention of deep venous thrombosis after orthopedic surgery.Methods A total of 56 patients with fracture surgery were randomly divided into observation group and control group,with 28 cases in each group.The control group received conventional nursing,and the observation group received lower extremity acupoint application and manual massage on the basis of the control group.The treatment effect in two groups was compared.Results Before intervention,there was no statistically significant difference in D-dimer,activated partial thromboplastin time(APTT),prothrombin time(PT)between the two groups(P>0.05).There was no statistically significant difference in D-dimer,APTT and PT before and after intervention in the control group(P>0.05).After intervention,the observation group had better D-dimer,APTT and PT than the control group,and the difference was statistically significant(P<0.05).After 10 d of treatment,the observation group had incidence of deep venous thrombosis as 3.6%,which was 21.4%in the control group,and the difference was statistically significant(P<0.05).The control group had nursing satisfaction degree during treatment as 75.0%,which was 96.4%in the observation group,and the difference was statistically significant(P<0.05).Conclusion Combination of lower extremity acupoint application and manual massage can effectively prevent deep venous thrombosis after orthopedic surgery,improve coagulation index and nursing satisfaction during treatment.So it is worthy of clinical promotion.
作者
吴婷
WU Ting(Xuzhou Hospital of Traditional Chinese Medicine,Xuzhou 221000,China)
出处
《中国现代药物应用》
2018年第22期201-203,共3页
Chinese Journal of Modern Drug Application
关键词
穴位贴敷
手法按摩
骨科术后
深静脉血栓
Acupoint application
Manual massage
Orthopedic post-operation
Deep venous thrombosis
