践行快速康复外科理念对子宫全切术后下肢深静脉血栓形成的影响  

Influence of Fast Track Surgery on Lower-extremity Deep Vein Thrombosis after Hysterectomy

作　　者：张伟超[1] 冼碧茹 

机构地区：[1]广东医学院附属三水医院康复医学科,广东佛山528100 [2]广东医学院附属三水医院妇产科,广东佛山528100

出　　处：《中外医疗》2015年第10期1-2,共2页China & Foreign Medical Treatment

摘　　要：目的探讨快速康复外科理念对子宫全切术后下肢深静脉血栓形成的影响。方法将2012年5月—2014年4月在该院接受子宫全切术治疗的90例患者纳入该研究,根据随机原则分组。对照组接受常规手术处理,实验组围术期践行快速康复外科理念。对比两组患者术后下肢深静脉血栓发生率、下床活动时间、肛门排气时间、住院时间的差异性。结果与对照组对比,发现实验组患者术后下肢深静脉血栓发生率明显较低,下床活动时间、肛门排气时间、住院时间均明显较短,组间差异有统计学意义(P<0.05)。结论对子宫全切术患者围手术期践行快速康复外科理念可降低术后下肢深静脉血栓形成的风险,促进康复进程。Objective To explore the effect of fast track surgery on lower-extremity deep vein thrombosis after hysterectomy. Methods 90 cases underwent hysterectomy in our hospital from May 2012 to April 2014 were enrolled in this study and randomly divided into the control group and the experimental group. The control group received routine operation treatment, while the experimental group adopted rapid rehabilitation surgery during the perioperative period. And the incidence of postoperative lower-extremity deep vein thrombosis, ambulation time, anal exhaust time and length of stay were compared between the two groups. Results Compared with the control group, the experiment group showed lower incidence of postoperative lower-extremity deep vein thrombosis, earlier ambulation time and anal exhaust time and shorter length of stay, the statistical analysis showed the differences between the two groups were significant（P〈0.05）. Conclusion For patients with hysterectomy, fast track surgery implemented in the perioperative period can reduce the risk of lower-extremity deep venous thrombosis and speedup the rehabilitation process.

关 键 词：快速康复外科理念 子宫全切术 下肢深静脉血栓 康复进程 

分 类 号：R473.5[医药卫生—护理学]