不同温度肿胀液对下肢静脉曲张术后患者康复影响的研究  

Study on the effects of different temperature swelling fluid on the rehabilitation of patients after lower extremity varicose veins surgery

作　　者：靳彩云 陈璟 张彩鑫 欧阳艳艳 朱美霖 李姝漫 陈幸 JIN Caiyun;CHEN Jing;ZHANG Caixin;OUYANG Yanyan;ZHU Meilin;LI Shuman;CHEN Xing(School of Nursing,Fujian Medical University,Fuzhou,350108,China;不详)

机构地区：[1]福建医科大学护理学院,福州市350108 [2]联勤保障部队第九〇〇医院护理部 [3]联勤保障部队第九〇〇医院血管外科

出　　处：《中华护理杂志》2022年第2期140-145,共6页Chinese Journal of Nursing

摘　　要：目的探讨不同温度的肿胀液冷疗对硬膜外麻醉联合局部肿胀麻醉下的下肢静脉曲张术后患者的康复效果。方法采用便利抽样法,选取2019年12月—2021年3月在福州市某三级甲等医院血管外科住院的接受硬膜外麻醉联合局部肿胀麻醉,实施下肢静脉曲张手术的101例患者作为研究对象,按随机数字法随机分为3组:试验组A 34例,为其提供4~9℃的肿胀液;试验组B 34例,为其提供10~15℃的肿胀液;对照组33例,为其提供18~24℃的肿胀液,观察对比3组术后3 d患侧肢体疼痛线性视觉模拟评分、患侧肢体瘀斑面积、皮下发生血肿例数。结果3组基线资料比较,差异无统计学意义(P>0.05),具有可比性;术后3 d疼痛线性视觉模拟评分2个试验组均低于对照组,差异具有统计学意义(P<0.05);3组术后第3天患侧肢体瘀斑面积比较,2个试验组均小于对照组,差异具有统计学意义(P=0.001);3组术后第3天皮下血肿发生例数比较,差异无统计学意义(P=0.278)。结论使用4~9℃或10~15℃肿胀液对下肢静脉曲张患者进行术中冷疗均可以减轻术后3 d疼痛程度、减少术后术肢瘀斑面积。Objective To investigate the rehabilitation effect of swelling fluid cold therapy at different temperatures on patients with lower extremity varicose veins(LEVV)under epidural anesthesia and local swelling anesthesia.Methods 101 patients undergoing epidural anesthesia and local swelling LEVV in a tertiary A hospital in Fuzhou for vascular surgery from December 2019 to March 2021 were selected as study subjects by convenient sampling method.They were randomly divided into 3 groups according to random numbers,namely test group A with 34 cases provided with 4~9℃of swelling fluid,test group B with 34 cases provided with 10~15℃of swelling fluid,the control group with 33 cases provided with 18~24℃of swelling fluid.The rehabilitation of surgical limb pain value,ecchymosis area,the number of hematoma occurrence and complications in the 3 days of the 3 groups were observed.Results The differences of baseline data between the 3 groups were not statistically significant(P>0.05);the pain scores of the 2 test groups were lower than those of the control group(P<0.05).The skin ecchymosis area on the 3rd day after the surgery in the 2 test groups was lower than it in the control group with statistically significant differences(P=0.001).There was no significant difference in the hematoma of the 3 groups on postoperative 3rd day(P=0.278)and no adverse reactions occurred in the 3 groups.Conclusion Intraoperative cold treatment with 4~9℃or 10~15℃swelling fluid in patients with LEVV can reduce the pain and ecchymosis area of postoperative 3 d.

关 键 词：冷冻疗法 温度 肿胀麻醉液 静脉曲张 随机对照试验 护理 

分 类 号：R473.6[医药卫生—护理学]