摘要
目的探讨梯度弹力袜标准作业流程对经尿道前列腺电切术后下肢深静脉血栓的预防效果。方法选取南京大学医学院附属鼓楼医院2016年1月~2018年12月收治的经尿道前列腺电切术患者168例,采用随机数字表法分为观察组和对照组,每组各84例。对照组给予梯度弹力袜,观察组给予梯度弹力袜标准作业流程。比较两组下肢深静脉血栓及腓肠肌疼痛发生率、D-二聚体水平、下肢血流速度及下肢皮肤温度。结果观察组下肢深静脉血栓及腓肠肌疼痛发生率均明显低于对照组,差异有统计学意义(P <0.05)。观察组术后D-二聚体水平低于对照组,差异有统计学意义(P <0.05)。观察组术后双下肢股浅静脉及腘窝静脉血流流速均高于对照组,且观察组双下肢皮肤温度均高于对照组,差异有统计学意义(P <0.05)。结论梯度弹力袜标准作业流程可有效预防经尿道前列腺电切术患者下肢深静脉血栓的发生,降低腓肠肌疼痛发生率及D-二聚体水平,同时可提升下肢静脉血流速,提高下肢皮肤温度,值得推广。
Objective To investigate the preventive effect of standard operating procedure of gradient elastic stockings on deep venous thrombosis of lower extremity after transurethral resection of prostate. Methods A total of 168 patients with transurethral resection of prostate from January 2016 to December 2018 were selected from Affiliated Drum Tower Hospital of Medicine School of Nanjing University, and randomly divided into observation group and control group with84 patients in each group. Gradient elastic stockings were given to the control group, and the observation group was given the standard operating procedure of the gradient elastic stockings. The incidence of deep venous thrombosis and gastrocnemius pain, D-dimer level, lower limb blood flow velocity and lower limb skin temperature were compared between the two groups. Results The incidence of lower limb deep venous thrombosis and gastrocnemius pain in the observation group were significantly lower than those in the control group, with statistically significant differences(P <0.05). The postoperative D-dimer level in the observation group was lower than that in the control group, with statistically significant difference(P < 0.05). The flow velocity of superficial femoral vein and popliteal vein of both lower extremities in the observation group were higher than those in the control group, and the skin temperature of both lower extremities in the observation group was higher than that in the control group, with statistically significant differences(P < 0.05). Conclusion The standard operating procedure of gradient elastic socks can effectively prevent the occurrence of lower extremity deep vein thrombosis in patients undergoing transureal prostatectomy, reduce the incidence of gastrocrocker pain and D-dimer level, and improve the venous blood flow rate of lower extremity and skin temperature of lower extremity, which is worthy of promotion.
作者
米嘉希
李萍
庄君龙
MI Jiaxi;LI Ping;ZHUANG Junlong(Department of Urology,Affiliated Drum Tower Hospital,Medicine School of Nanjing University,Jiangsu Province,Nanjing210000,China)
出处
《中国医药导报》
CAS
2019年第31期173-176,共4页
China Medical Herald
基金
国家自然科学基金资助项目(81602221)
关键词
经尿道前列腺电切术
梯度弹力袜
标准作业流程
下肢深静脉血栓
预防效果
Transurethral resection of the prostate
Gradient elastic stockings
Standard operating procedures
Deep vein thrombosis of the lower extremities
Preventive effect
