气压治疗对剖宫产术后患者下肢肌力恢复和预防下肢静脉血栓形成的作用  

Role of pressure treatment in instauration of muscle power and prevention of lower limb vein thrombus for cesarean section patients

作　　者：赵冲[1] 费英俊[1] 

机构地区：[1]中国医科大学附属盛京医院,北京110022

出　　处：《中国现代医学杂志》2016年第20期95-98,共4页China Journal of Modern Medicine

摘　　要：目的探讨剖宫产术后给予气压及间歇按摩两种不同方式对肌力恢复及预防下肢静脉血栓的影响。方法选取中国医科大学附属盛京医院2014年1月1日-2015年1月1日无合并症足月剖宫产患者200例,均于联合阻滞麻醉下行子宫下段剖宫产术。随机分为实验组(n=100)和对照组(n=100),实验组患者术后返回病房后立即给予双下肢气压治疗2 h,对照组术后给予患者双下肢间歇按摩2 h。分别观察干预后1 h、2 h患者双下肢肌力恢复情况,评估术后24小时发生血栓的风险,随访1月后两组患者产生下肢静脉血栓的人数并记录。结果实验组患者1 h肌力恢复到4级的阳性率为78%,对照组患者1 h肌力恢复到4级的阳性率为60%,两组比较差异具有统计学意义,χ2=7.574,P<0.05;实验组患者2 h肌力恢复到5级的阳性率为95%,对照组患者2h肌力恢复5级的阳性率为65%,两组比较差异具有统计学意义,χ2=28.125,P<0.05;两组患者的年龄,体重指数,手术时间及术中出血量比较差异无统计学意义(P>0.05);两组患者术后24 h内血红蛋白、红细胞比容及凝血五项的比较差异无统计学意义(P>0.05)。两组患者术后均无下肢静脉血栓形成。结论气压治疗有助于剖宫产术后患者双下肢肌力的恢复;两组治疗方式对患者术后并发下肢血栓风险无明显差别;随访1个月均无1人发生深静脉血栓。Objective To discuss the effect of two different ways of pressure and intermittent massage on muscle strength recovery and prevention of lower limb venous thrombosis after cesarean section. Methods From January 1st 2014 to January 1st 2015, 200 eases of cesarean section without complications in our hospital were selected. All cases underwent the combined anesthesia and downlink cesarean section. Cases were randomly divided into experimental group （n = 100） and control group （n = 100）. The experimental group was treated both lower extremities pressure treatment for 2 hours immediately after came back to wards, and the control group was given intermittent massage for 2 hours after operation. The recovery of muscle strength in patients 1 hours and 2 hours after the intervention were observed respectively, and the risk of thrombosis occurred 24 hours after surgery was estimated. The number of patients with lower limb venous thrombosis was recorded in the two groups after one month. Results In the experimental group, 78% muscle strength of patients recovered to 4 level after 1 hour, and that of the control group was 60%. Comparison of the two groups was statistically significant （ χ^2= 7.574, P 〈 0.05）. Two hours after surgery, the rates of muscle strength fully recovery were 95% and 65% in the experimental group and the control group, respectively. Comparison of the two groups was statistically significant （χ^2 = 28.125, P 〈 0.05）. The differences of the age, body mass index, operation time and blood loss between the two groups were not statistically significant （P 〉 0.05）. The differences of the hemoglobin, erythrocrit and blood coagulation after the operation between the two groups were not statistically significant （P 〉 0.05）. No lower limb venous thrombosis was found in the two groups. Conclusions The treatment of pneumatic pressure is helpful to the recovery of the muscle strength of the lower limbs of the patients after cesarean section.

关 键 词：剖宫产术后 气压治疗 肌力 下肢静脉血栓 

分 类 号：R586[医药卫生—内分泌]