间歇性充气加压装置对肺癌根治术后患者深静脉血栓的预防效果  

Preventive effect of intermittent pneumatic compression device on deep vein thrombosis in patients after radical resection of lung cancer

作　　者：许海阳[1] 屈文燕[1] 谢敏飞 王瑞英 龚柳阳[2] XU Haiyang;QU Wenyan;XIE Minfei;WANG Ruiying;GONG Liuyang(Department of Critical Care Medicine,Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University,Linhai 317000,China;Department of Respiratory Medicine,Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University,Linhai 317000,China)

机构地区：[1]浙江省台州医院重症医学科,浙江临海317000 [2]浙江省台州医院呼吸科,浙江临海317000

出　　处：《中国现代医生》2022年第6期88-91,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2020KY355)。

摘　　要：目的观察并比较间歇性充气加压装置对肺癌根治术后患者深静脉血栓的预防效果。方法选取浙江省台州医院2019年3月至2020年6月收治的肺癌根治术后患者85例为研究对象,并将其分为采用肺癌根治术后常规康复方法的对照组患者40例与在对照组的基础上采用间歇性充气加压装置进行治疗的干预组患者45例,观察并比较两组患者干预前后下肢深静脉血栓的发生情况、血流动力学指标的变化情况及肺癌治疗状态评价量表(FACT-L)评分情况。结果干预组患者中下肢深静脉血栓发生率为2.22%,低于对照组患者的17.50%,差异有统计学意义(χ^(2)=5.797,P=0.016)。干预前后,干预组D-二聚体、APTT、PT及FIB均有所改善,组内前后比较,差异均有统计学意义(P<0.001);干预前,两组患者D-二聚体、APTT、PT及FIB比较,差异无统计学意义(P>0.05),干预后,干预组D-二聚体,FIB均低于对照组,而APTT,PT高于对照组,差异有统计学意义(P<0.001)。干预前,两组患者的生理状况、社会/家庭状况、情感状况、功能状况、附件的关注状况评分及总分比较,差异无统计学意义(P>0.05),干预后,除了社会/家庭状况两组比较,差异无统计学意义(P>0.05),干预组患者其余以上指标评分高于对照组患者,差异有统计学意义(P<0.05)。结论对肺癌根治术后患者采用间歇性充气加压装置治疗,可以有效改善患者术后的生存质量,明显降低深静脉血栓的发生率。Objective To observe and compare the preventive effect of intermittent pneumatic compression device on deep vein thrombosis in patients after radical resection of lung cancer.Methods A total of 85 patients admitted to Taizhou Hospital in Zhejiang Province after radical resection of lung cancer from March 2019 to June 2020 were selected.They were divided into the control group and the intervention group using random number table method.The control group(n=40)were given conventional rehabilitation,and the intervention group(n=45)were treated with intermittent pneumatic compression device and conventional rehabilitation.The incidences of deep vein thrombosis of the lower extremities,changes in hemodynamic indicators and scores of functional assessment of cancer therapy-lung(FACT-L)before and after the intervention were observed and compared between the two groups.Results The incidence of deep vein thrombosis in the intervention group(2.22%)was lower than that in the control group(17.50%),with statistically significant difference(χ^(2)=5.797,P=0.016).After intervention,the D-dimer,APTT,PT and FIB in the intervention group were all improved than those before treatment,with statistically significant differences(P<0.001).Before intervention,there were no significant differences in D-dimer,APTT,PT and FIB between the two groups(P>0.05).After intervention,the D-dimer and FIB in the intervention group were lower than those in the control group,while APTT and PT were higher than those in the control group,with statistically significant differences(P<0.001).Before intervention,there were no statistical differences in physiological status,social/family status,emotional status,functional status,attached attention status scores and total scores between the two groups(P>0.05).After intervention,there was no statistically significant difference in social/family status between the two groups(P>0.05).The scores of the rest indicators in the intervention group were higher than those in the control group,with statistically significa

关 键 词：肺癌根治术后 间歇性充气加压装置 深静脉血栓 康复 生存质量 

分 类 号：R734.2[医药卫生—肿瘤]