肌泵运动对老年食管癌患者术后下肢深静脉血栓形成的影响  

Effect of muscle pump exercise on elderly patients with esophageal carcinoma postoperative deep vein thrombosis of the lower extremity

作　　者：陈美娇[1] 许美芳[1] 袁述兰[1] 郑洁芳[2] 

机构地区：[1]广东医学院附属医院心胸外科,湛江524001 [2]广东省湛江中心人民医院急救中心输液室,524037

出　　处：《中华现代护理杂志》2012年第10期1173-1175,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨肌泵运动对老年食管癌患者术后下肢深静脉血栓形成的影响。方法将460例老年食管癌患者按入院先后顺序随机分为研究组230例和对照组230例，研究组患者术后在常规护理的同时采取肌泵运动措施，对照组患者术后只给予常规护理，分别观察记录两组患者术后下肢肿胀、疼痛的情况以及术后下肢深静脉血栓形成的情况，并进行对照比较。结果研究组患者术后下肢肿胀、疼痛发生率为10．43％，对照组患者术后下肢肿胀、疼痛发生率为20．87％，两组比较，差异有统计学意义（x2=9．48，P〈0．01）。研究组患者术后下肢深静脉血栓形成占2．17％，而对照组患者术后下肢深静脉血栓形成占8．26％，两组比较差异有统计学意义（x2=8．61，P〈0．01）。结论肌泵运动措施简便易掌握，为降低老年食管癌患者术后下肢深静脉血栓形成的发病率开拓了一条新的预防途径，对减少术后并发症、促进患者术后康复具有非常重要的现实意义，值得临床进一步推广。Objective To investigate the effect of muscle pump exercise on elderly patients with esophageal carcinoma postoperative deep vein thrombosis of the lower extremity. Methods 460 cases of elderly patients with esophageal cancer in admission sequence were randomly divided into the study group （230 cases） and control group （230 cases）, the study group patients in routine care while taking the muscle pump motor measures, the control group only received routine care. Postoperative observation records include lower limb swelling, pain situation and postoperative deep vein thrombosis of the lower extremity in the two groups. Results In the study group, lower limb swelling, pain occurs at a rate of 10.43% was lower than 20.87% in control group （x2 = 9.48 ,P 〈 0.01 ）. Deep venous thrombosis in lower extremities accounted for 2.17% in study group and also lower than 8.26% in the control group （x2 = 8.61 ,P 〈 0.01 ）. Conclusions The muscle pump motor measures is easy to master, and has opened up a new way to prevent postoperative deep vein thrombosis of the lower extremity morbidity of the elderly patients with esophageal carcinoma, reduce postoperative complications, promote the postoperative rehabilitation of patients, and also has very important practical significance, is worth the clinical further promotion.

关 键 词：食管肿瘤 老年患者 下肢 静脉血栓形成 肌泵运动 

分 类 号：R735.1[医药卫生—肿瘤]