术中周期性充气压力泵护理对腹腔镜辅助阴式全子宫切除术患者术后下肢深静脉血栓发生率的影响  

Effect of Nursing Care of Intraoperative Periodical Inflatable Pressure Pump on the Incidence of Postoperative Lower Limb DVT in Patients Undergoing Laparoscopic Assisted Vaginal Hysterectomy

作　　者：孙永丽 SUN Yongli(Operation Room.Zhoukou Maternal and Child Health Hospital,Zhoukou 466000,China)

机构地区：[1]周口市妇幼保健院手术室,河南周口466000

出　　处：《河南医学研究》2021年第24期4597-4599,共3页Henan Medical Research

摘　　要：目的分析术中周期性充气压力泵护理对腹腔镜辅助阴式全子宫切除术患者术后下肢深静脉血栓(DVT)发生率的影响。方法选取周口市妇幼保健院2017年3月至2019年6月89例接受腹腔镜辅助阴式全子宫切除术患者为研究对象,2017年3月至2018年6月的42例患者为对照组,接受常规护理干预,2018年7月至2019年6月的47例患者为观察组,在对照组基础上接受术中周期性充气压力泵护理,比较两组干预前后凝血指标水平[纤维蛋白原(FIB)、凝血酶原时间(PT)]、干预前后血小板计数(PLT)、股静脉血流动力学[左右两侧血流峰速度(Vp)、血流量(BF)、血流平均速度(Va)]、下肢股静脉血流动力学指标(Vp、BF、Va)增幅情况、下肢DVT发生率。结果术后5 d,观察组FIB较对照组低,PT较对照组高(P<0.05);术后5 d,两组PLT对比,差异无统计学意义(P>0.05);术后5 d,观察组左右两侧股静脉Vp、BF、Va均较对照组高(P<0.05);干预后,观察组下肢股静脉Vp、BF、Va增幅均高于对照组(P<0.05);观察组下肢DVT发生率(2.13%)较对照组(19.05%)低(P<0.05)。结论腹腔镜辅助阴式全子宫切除术患者接受术中周期性充气压力泵护理,能有效降低下肢DVT发生率,改善下肢凝血、血流动力学水平。Objective To analyze the effect of intraoperative periodic inflatable pressure pump nursing on the incidence of deep vein thrombosis(DVT)in patients undergoing laparoscopic assisted vaginal hysterectomy.Methods A total of 89 patients underwent laparoscopic assisted vaginal hysterectomy in Zhoukou Maternal and Child Health Hospital from March 2017 to June 2019 were selected.A total of 42 patients from March 2017 to June 2018 were selected as the control group and received routine nursing intervention.A total of 47 cases from July 2018 to June 2019 were selected as the observation group.On the basis of the control group,they received cyclical inflatable pressure pump care during the operation.The levels of coagulation indexes[fibrinogen(FIB),prothrombin time(PT)],platelet count(PLT),femoral vein hemodynamics[left and right peak velocity(Vp),blood flow(BF),average velocity(Va)],the increase of lower limb femoral vein hemodynamics indexes(Vp,BF,Va)and the incidence of lower limb DVT were compared between the two groups before and after intervention.Results After 5 days,the observation group had lower FIB and higher PT than the control group(P<0.05);5 days after the operation,there was no significant difference between the two groups of PLT(P>0.05);5 days after the operation,the observation group left and right Vp,BF,and Va of lateral femoral vein were higher than those of the control group(P<0.05);after intervention,the increase of Vp,BF,Va of femoral vein of the observation group was higher than that of the control group(P<0.05);the incidence of DVT in the observation group(2.13%)was lower than the control group(19.05%)(P<0.05).Conclusion Laparoscopic assisted vaginal hysterectomy patients receiving intraoperative periodic inflatable pressure pump care can effectively reduce the incidence of lower extremity DVT and improve the level of coagulation and hemodynamics in the lower extremities.

关 键 词：周期性 充气压力泵 腹腔镜辅助阴式全子宫切除术 下肢深静脉血栓 

分 类 号：R473.71[医药卫生—护理学]