中药热奄包在自发热腿膝垫中预防术中全身麻醉患者发生下肢深静脉血栓的应用研究  

Application of traditional Chinese medicine foment package in prevention of lower extremity deep venous thrombosis in patients undergoing general anesthesia under self-control position pad for leg and knee

作　　者：罗志芳 杨光静[3] 朱良琼 王健 黄定桂 谢冕 Luo Zhifang;Yang Guangjing;Zhu Liangqiong;Wang Jian;Huang Dinggui;Xie Mian(College of Nursing,Hunan University of Chinese Medicine,Changsha 410208,China;Department of Surgery and Anesthesiology,Chongqing Traditional Chinese Medicine Hospital,Chongqing 400021,China;Department of Nursing,Chongqing Traditional Chinese Medicine Hospital,Chongqing 400021,China;Hospital Infection-Control Department,Chongqing Traditional Chinese Medicine Hospital,Chongqing 400021,China)

机构地区：[1]湖南中医药大学护理学院,长沙410208 [2]重庆市中医院手术麻醉科,400021 [3]重庆市中医院护理部,400021 [4]重庆市中医院院感科,400021

出　　处：《中国实用护理杂志》2019年第34期2650-2653,共4页Chinese Journal of Practical Nursing

基　　金：重庆市科委科技计划(cstc2017jxjl130020)。

摘　　要：目的观察中药热奄包在自发热体位垫中预防全麻手术患者术后发生下肢深静脉血栓的应用效果。方法随机选取2018年4月至2019年4月在重庆市中医院预行择期全麻手术患者160例,按随机数字表法分为对照组(采用普通热奄包的腿膝垫)和试验组(采用中药热奄包的腿膝垫),每组80例。分别对2组患者手术前后凝血功能和术后深静脉血栓发生情况进行观察比较。结果2组患者术前1 d凝血功能比较差异无统计学意义(P>0.05),对照组术后5 dD-二聚体、凝血酶原时间、纤维蛋白原、血小板计数分别为(1.28±0.39)g/L、(11.75±0.81)s、(4.37±0.71)g/L、(203.39±32.12)×109/L,试验组分别为(0.96±0.17)g/L、(11.45±0.67)s、(3.93±0.65)g/L、(186.10±34.69)×109/L,2组比较差异有统计学意义(t=2.553~6.728,P<0.01)。试验组术后5 d下肢深静脉血栓发生率为4%(3/80),对照组为18%(77/80),2组比较差异有统计学意义(χ2=5.005,P<0.05)。结论采用中药热奄包的自发热腿膝垫可以改善全麻手术患者的凝血功能,降低术后5 d的下肢深静脉血栓发生率,可作为优选护理方案在自发热腿膝垫中推广应用。Objective To observe the effect of traditional Chinese medicine foment package in spontaneous heat position pad to prevent lower extremity deep venous thrombosis(LEDVT)during general anesthesia.Methods From April 2018 to April 2019,160 cases during general anesthesia were selected and divided into the control group(common hot pad for leg and knee)and the experimental group(self-control position pad for leg and knee)with 80 cases each by the random number table method.The coagulation function and deep venous thrombosis were observed and compared between the two groups.Results There was no significant difference in coagulation function between the two groups on the 1 day before operation(P>0.05).The level of D-dimer,prothrombin time,fibrinogen,platelet count on the 5 days after operation was(1.28±0.39)g/L,(11.75±0.81)s,(4.37±0.71)g/L,(203.39±32.12)×109/L in the control group,and(0.96±0.17)g/L,(11.45±0.67)s,(3.93±0.65)g/L,(186.10±34.69)×109/L in the experimental group,and there was significant difference between the two groups(t=2.553-6.728,P<0.01).The incidence of LEDVT on the 5 day after operation was 4%(3/80)in the experimental group and 18%(77/80)in the control group,and there was significant difference between the two groups(χ2=5.005,P<0.05).Conclusions The spontaneous fever knee pad with traditional Chinese medicine foment package can improve the blood coagulation function of general anesthesia patients,and the incidence of LEDVT is lower than that of the control group 5 days after operation.

关 键 词：中药热奄包 全身麻醉 深静脉血栓 

分 类 号：R47[医药卫生—护理学]