经络弹力袜预防妇科盆腔术后下肢深静脉血栓的效果评价  

Appraisal preventive effects of meridian stretch stocking on postgynecological pelvic surgery to LEDVT

作　　者：周惠玲 程秀华 甘燕玲 胡梦 张国群 

机构地区：[1]武汉市第三医院妇产科,430060 [2]武汉市第三医院护理部,430060 [3]武汉市第三医院儿科,430060

出　　处：《中华现代护理杂志》2016年第1期80-84,共5页Chinese Journal of Modern Nursing

基　　金：基金项目：武汉市卫生局临床医学科研项目（WZ11D15）

摘　　要：目的探讨经络弹力袜预防妇科盆腔术后下肢深静脉血栓形成（LEDVT）的效果及其影响。方法选取2010年4月—2013年2月在武汉市第三医院妇科进行盆腔手术的患者，将210例患者按入院先后顺序分为常规组（A组）、普通弹力袜组（B组）和经络弹力袜组（C组），每组70例。A组行常规护理方法，B组使用普通弹力袜，C组使用经络弹力袜；弹力袜是在常规护理的基础上于术后立即使用。比较三组患者双下肢静脉血流速度、足背皮温、LEDVT发生率、凝血和纤溶功能等。结果三组间LEDVT总发生率比较，C组低于A组、B组，差异有统计学意义（x2=6．667，P〈0．05）。三组患者手术后股浅静脉、胭窝静脉血流速度比较，C组比A组、B组快，差异均有统计学意义（P〈0．01）；术后2，4h双下肢足背皮温比较，C组比A组、B组复温快，差异有统计学意义（P〈0．01）。三组患者手术前后的凝血和纤溶功能各指标比较，差异均无统计学意义（P〉0。05）。结论经络弹力袜能提高妇科盆腔手术后患者下肢静脉血流速度，促进患者下肢足背皮温恢复，降低LEDVT发生率。Objective To explore the effects and influences of meridian stretch stocking for prevention of lower extremity deep vein thrombosis （LEDVT） after gynecological pelvic surgery. Methods A total of 210 patients,who conducted pelvic surgery at Department of Obstetrics and Gynecology, Wuhan Third Hospital from April 2010 to February 2013, were randomly divided into routine group （ Group A）, the common stretch stocking group （Group B） and meridian stretch stocking group （Group C）, 70 cases in each group, according to their check-in time. The patients of Group A followed routine nursing methods, and the patients of Group B complied with normal stretch stocking while the patients of Group C adopted meridian stretch stocking. The usage of stretch stockings was on the basis of conventional nursing methods and applied immediately after the surgery. Then a series of comparisons were made in terms of lower extremity venous blood flow velocity, foot dorsum skin temperature and the incidence of LEDVT, coagulation and fibrinolytic function, etc. Results Group C possessed the lowest LEDVT incidence in three groups and the differences were statistically significant （ x2 = 6. 667, P 〈 0.05）. Meanwhile Group C had the fastest posterior divisions superficial, vein and popliteal fossa vein blood flow velocity with statistical significance compared with the other two groups （P 〈 0.01 ）. The lower limb dorsal skin temperature of Group C was higher than that of Group A and Group B after two and four hours＇ surgery （P 〈0. 01 ）. There was no statistical difference in blood coagulation and fibrinolytic function of the three groups （ P 〉 0. 05）. Conclusions Meridian stretch stocking can advance venous blood flow velocity, improve lower limb dorsal skin temperature and reduce LEDVT incidence of patients with gynecological pelvic surgery.

关 键 词：下肢 静脉血栓形成 妇科盆腔手术 经络弹力袜 

分 类 号：R473.71[医药卫生—护理学]