自助式下肢功能锻炼鞋在下肢骨折术后深静脉血栓预防中的应用  

Application of self-service lower limb therapeutic footwear in prevention of deep vein thrombosis after lower limb fracture surgery

作　　者：潘璇璇[1] 梁平平 洪静[1] PAN Xuan-xuan;LIANG Ping-ping;HONG Jing(Department of Traumatic Orthopedics,the Second Affiliated Hospital of Wenzhou MedicalUniversity,Wenzhou,Zhejiang 325000,China)

机构地区：[1]温州医科大学附属第二医院创伤骨科,浙江温州325000

出　　处：《中华全科医学》2021年第7期1236-1238,1242,共4页Chinese Journal of General Practice

基　　金：浙江省教育厅一般科研项目(Y202044379);温州市科技局科研项目(Y2020704)。

摘　　要：目的下肢骨折术后长期卧床可致使下肢深静脉血栓,影响肢体功能恢复,常规功能锻炼方式需在患者骨折处稳定后开展,恢复慢,需选择一种科学规范的锻炼方式。本研究用软底舞蹈鞋和绷带两条制成自助式功能锻炼鞋,分析自助式下肢功能锻炼鞋在下肢骨折术后的作用。方法选择2016年8月—2018年8月温州医科大学附属第二医院收治的120例下肢骨折手术患者,按照抽签法分组。对照组60例,行常规锻炼,观察组60例,在功能锻炼中使用自助式下肢功能锻炼鞋,比较2组患者深静脉血栓发生率、大小腿内径、下肢肿胀度、踝关节功能和下肢功能。结果观察组下肢深静脉血栓发生率低于对照组(P<0.05);观察组小腿周径为(28.16±1.96)cm、大腿周径为(53.24±2.56)cm。肿胀程度评分为(0.78±0.12)分,低于对照组,踝关节功能、下肢运动和平衡功能评分分别为(81.54±1.69)分、(30.12±1.27)分和(42.78±1.98)分,高于对照组(均P<0.05)。结论下肢骨折患者术后使用自助式下肢功能锻炼鞋,可预防下肢深静脉血栓,缓解下肢肿胀,对患者踝关节和下肢功能改善作用明显,可在增加样本数量,延长研究时间的基础上,对自助式下肢功能锻炼鞋在下肢骨折术后的应用价值予以深入探讨。Objective Staying in bed for a long time due to lower limb fractures can cause postoperative deep vein thrombosis of lower limb,affecting limb function recovery.The conventional way of functional exercise should be carried out by patients after the fracture is stable,However,by this means the recovery of limb function is slow,and a scientific and standardized exercise method is needed.In this study self-service lower limb functional therapeutic footwear were made from soft bottom shoes and two bandage to analyse the role of self-service lower limb functional therapeutic footwear on the recovery of lower limb fracture.Methods A total of 120 patients with lower extremity fracture from August 2016 to August 2012 were studied and divided into groups according to the lottery method.Sixty patients in the control group received regular exercise,and 60 patients in the observation group used self-service lower limb therapeutic footwear during functional exercise.The incidence of deep vein thrombosis,inner diameter of lower leg,swelling degree of lower limb,ankle joint function and lower limb function in the two groups were compared.Results The incidence of lower extremity deep vein thrombosis in the observation group was lower than that in the control group(P<0.05).In the observation group,the circumference of calf and thigh were(28.16±1.96)cm and(53.24±2.56)cm,respectively.The score of swelling degree was(0.78±0.12)points,which was lower than that of the control group.The score of ankle function,lower limb movement and balance function of the observation group were(81.54±1.69)points,(30.12±1.27)points and(42.78±1.98)points,respectively,which were higher than that of the control group(all P<0.05).Conclusion For patients with lower limb fracture surgery,using self-service lower limb therapeutic footwear can prevent deep vein thrombosis of lower limb and relieve swelling in the lower extremities.Patients with obvious discomfort can achieve improved ankle and lower limb function.The number of samples can be increased t

关 键 词：自助式下肢功能锻炼鞋 下肢骨折 深静脉血栓 踝关节功能 下肢功能 

分 类 号：R683.42[医药卫生—骨科学] R473.6[医药卫生—外科学]