周期性充气加压可降低骨科大手术后深静脉血栓  

Intermittent Pneumatic Compression Could Decrease the Rate of Deep Venous Thrombosis on Patients with Major Orthopedic Surgery

作　　者：蒋莹卿[1] 

机构地区：[1]苏州大学附属第一医院,苏州215006

出　　处：《基因组学与应用生物学》2016年第12期3297-3301,共5页Genomics and Applied Biology

基　　金：苏州大学附属第一医院资助

摘　　要：为了比较周期性充气加压和常规护理干预对骨科大手术后深静脉血栓形成的效果，本研究选取了骨科大手术后患者92例，随机分为实验组和对照组各46例。对照组患者实施常规护理干预，实验组在对照组的基础上，于术后1～2h使用间歇性充气挤压泵（IPC）进行周期性充气加压，脚踝压力45mmHg，小腿压力40mmHg，大腿压力30mmHg，充气15S，放气45s，即一个挤压周期1min。结果表明，实验组患者下肢深静脉血栓发生率、血流峰速度和增幅、血流平均速度和增幅、血流量和增幅均显著高于对照（p〈0．01），且实验组患者舒适度感受优于对照组。周期性充气加压可以降低骨科大手术后的深静脉血栓发生率、改善血流动力学指标，可广泛应用于临床。In order to compare the effects of intermittent pneumatic compression to usual care on patients with major orthopedic surgery, 92 participants who had major orthopedic surgery were selected as research objects, they were randomly divided into experiment group and control group, 46 cases in each group. Patients in the control group were treated with usual care, and patients in the experiment group were treated with intermittent pneumatic compression and usual care. Intermittent pneumatic compression was operated with ankle＇s pressure of 45 mmHg, shank＇s pressure of 40 mmHg, thigh＇s pressure of 30 mmHg, and lasted for 1 min in one cycle （inflatable 15 s and deflated 45 s）. The results showed that the rate of DVT, score of Vp, Va and BF in experiment group were significantly higher than control group （p 〈0.01）, so as to the increasing range of the four items （p 〈0.01）. Participants felt more comfortable in the experiment group than control group. Intermittent pneumatic compression could decrease the rate of DVT after major orthopedic surgery, improve the parameters of hemodynamic, and could be largely used in the clinic.

关 键 词：周期性充气加压 骨科手术 深静脉血栓 

分 类 号：R473.6[医药卫生—护理学]