医用弹力袜联合早期康复训练在预防膝关节置换术后患者下肢深静脉血栓中的应用  

Application of medical stretch socks combined with early rehabilitation training in prevention of lower limb deep venous thrombosis in patients with total knee arthroplasty

作　　者：王艳 张颖[1] WANG Yan;ZHANG Ying

机构地区：[1]上海复旦大学附属中山医院,上海市200032

出　　处：《护理实践与研究》2019年第7期81-83,共3页Nursing Practice and Research

摘　　要：目的 探讨医用弹力袜联合康复训练在预防膝关节置换术(TKA)后患者下肢深静脉血栓(DVT)中的疗效。方法 选取我院2017年1月至2018年1月行TKA治疗的患者66例为研究对象,随机将其等分为观察组(医用弹力袜+早期康复训练)与对照组(常规护理干预),分别于术前1 d及术后2,5,7 d,观察两组膝关节周径、膝关节活动度与血液流变学相关指标,术后10 d统计两组DVT发生率,术后随访3个月,比较两组患者膝关节功能。结果 两组不同时间膝关节周径比较差异有统计学意义(P <0. 05),且观察组术后2,5,7 d膝关节周径均小于对照组(P <0. 05);两组不同时间膝关节活动度比较,差异有统计学意义(P <0. 05),且观察组术后第7天膝关节活动度明显大于对照组(P <0. 05);两组不同时间血浆粘度、RBC聚集指数、全血高切、全血低切水平差异有统计学意义(P <0. 05),且观察组术后第2,5,7天各指标水平均明显低于对照组(P <0. 05);术后随访3个月,观察组膝关节功能恢复程度高于对照组(P <0. 05),DVT发生率低于对照组(P <0. 05)。结论 医用弹力袜联合康复训练能有效减轻TKA患者术后下肢水肿程度、提高膝关节活动度,同时改善血液高凝状态,有效降低DVT发生率,值得临床推广。Objective To explore the efficacy of medical stretch socks combined with rehabilitation training in prevention of lower limb deep venous thrombosis(DVT)in patients with total knee arthroplasty(TKA).Methods To select 66 cases of patients who underwent TKA in our hospital from January 2017 to January 2018 as the study subjects,and they were randomly divided into observation group(medical stretch socks combined with early rehabilitation training)and control group(routine nursing intervention)equally.At 1 day before surgery as well as 2,5,and 7 days after surgery,we observed the knee joint circumference,knee joint mobility and hemorheology related indexes.At the 10th day after surgery,we measured the incidence of DVT among the two groups.After the surgery,the follow-ups were conducted for three months,and the knee joint function was compared between the two groups.Results There was statistically significant difference in the circumference of the knee joint between the two groups at different time points(P<0.05).The knee circumference of the observation group was smaller than that of the control group at 2,5,and 7 days after operation(P<0.05).There was statistically significant difference in the range of motion of patients in the two groups at different time points(P<0.05),and the range of motion in the observation group was bigger than that of the control group at the 7th day after surgery(P<0.05).There was statistically significant difference in the plasma viscosity,RBC aggregation index,whole blood high cut,and whole blood low cut level between the two groups at different time points(P<0.05).Meanwhile,the level of each index was significantly lower than that of the control group on the 2nd,5th and 7th day after operation(P<0.05).After 3 months of follow-ups,the recovery level of knee joint function in the observation group was higher than that in the control group(P<0.05),and the incidence of DVT was lower than that in the control group(P<0.05).Conclusion Medical stretch socks combined with rehabilitation training

关 键 词：医用弹力袜 康复训练 膝关节置换术 下肢深静脉血栓 疗效 

分 类 号：R473.6[医药卫生—护理学]