基于认知干预的早期被动四肢锻炼结合气压泵在胃癌根治术后患者中的应用效果  

Application effect of early passive limb exercise based on cognitive intervention combined with pneumatic pump in patients with gastric cancer after radical gastreltomy

作　　者：陈静[1] 夏芳[1] CHEN Jing;XIA Fang(Ankang Hospital of Traditional Chinese Medicine,Ankang 725000,China)

机构地区：[1]安康市中医医院,陕西安康725000

出　　处：《临床医学研究与实践》2022年第33期182-184,共3页Clinical Research and Practice

摘　　要：目的探讨基于认知干预的早期被动四肢锻炼结合气压泵在胃癌根治术后患者中的应用效果。方法选取2016年4月至2021年5月我院收治的80例胃癌根治术后患者作为研究对象,以随机数字表法将其分为对照组和观察组,各40例。对照组采用常规护理干预,观察组在对照组的基础上应用基于认知干预的早期被动四肢锻炼结合气压泵干预。比较两组的干预效果。结果观察组的下肢深静脉血栓总发生率低于对照组(P<0.05)。干预后,观察组的凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)长于对照组,组织型纤溶酶原激活物(t-PA)、纤溶酶原激活物抑制剂(PAI-1)水平低于对照组(P<0.05)。干预后,观察组的下肢股总静脉、股浅静脉及腘窝静脉血流速度均快于对照组(P<0.05)。结论基于认知干预的早期被动四肢锻炼结合气压泵应用于胃癌根治术后患者中,有助于提高下肢深静脉血栓的预防效果,改善凝血-纤溶指标及下肢血流速度,值得推广。Objective To explore the application effect of early passive limb exercise based on cognitive intervention combined with pneumatic pump in patients with gastric cancer after radical gastrectomy.Methods A total of 80 patients with gastric cancer after radical gastrectomy admitted in our hospital from April 2016 to May 2021 were selected as the research objects and divided into control group and observation group by random number table method,with 40 cases in each group.The control group received routine nursing intervention,while the observation group received early passive limb exercise based on cognitive intervention combined with pneumatic pump intervention on the basis of the control group.The intervention effects of the two groups were compared.Results The total incidence of lower extremity deep vein thrombosis in the observation group was lower than that in the control group(P<0.05).After intervention,prothrombin time(PT)and activated partial thromboplastin time(APTT)in the observation group were longer than those in the control group,and tissue-plasminogen activator(t-PA)and plasminogen activator inhibitor-1(PAI-1)levels were lower than those in the control group(P<0.05).After intervention,the blood flow velocity of common femoral vein,superficial femoral vein and popliteal vein in the observation group were faster than those in the control group(P<0.05).Conclusion Early passive limb exercise based on cognitive intervention combined with pneumatic pump in patients with gastric cancer after radical gastrectomy is helpful to improve the prevention effect of lower extremity deep vein thrombosis,ameliorate coagulation and fibrinolysis indicators and lower extremity blood flow velocity,which is worthy of promotion.

关 键 词：认知干预 早期被动四肢锻炼 气压泵 胃癌根治术 

分 类 号：R473[医药卫生—护理学]