间歇式气压治疗对肺癌患者下肢深静脉血栓形成的预防效果  

Preventive effect of intermittent barometric therapy on lower extremity deep venous thrombosis in patients with lung cancer

作　　者：黄艳艳 周汝航[2] 闫玉侠[1] 李苗苗 张孝飞[1] Huang Yanyan;Zhou Ruhang;Yan Yuxia;Li Miaomiao;Zhang Xiaofei(Department of Respiratory Critical Care Medicine,the People's Hospital of Bozhou,Bozhou 236800,Anhui,China;Department of Vascular Surgery,the People's Hospital of Bozhou,Bozhou 236800,Anhui,China)

机构地区：[1]亳州市人民医院呼吸与危重症医学科,安徽亳州236800 [2]亳州市人民医院血管外科,安徽亳州236800

出　　处：《血管与腔内血管外科杂志》2023年第1期99-103,共5页Journal of Vascular and Endovascular Surgery

基　　金：2021年亳州市重点研发计划项目(202104j07020052)。

摘　　要：目的探讨以综合康复为目的的间歇式气压治疗对肺癌患者下肢深静脉血栓形成(DVT)的预防效果。方法选取2020年1月至2021年12月于亳州市人民医院住院治疗的82例肺癌患者,采用随机数字表法将其分为对照组(采取常规干预)和观察组(在常规干预的基础上采取间歇式气压治疗的个性化健康管理模式),每组41例。比较两组患者干预前后双下肢静脉血流速度、血栓发生情况、凝血功能指标[凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、凝血酶时间(TT)、纤维蛋白原(FIB)、D-二聚体(D-D)]水平。采用健康状况调查简表(SF-36)和自制护理满意度量表分别评估并比较两组患者干预前后的生活质量、护理满意度。结果干预后,观察组患者的双下肢静脉血流速度高于对照组患者,差异有统计学意义(P﹤0.05)。干预后,观察组患者的双下肢DVT发生率低于对照组患者,差异有统计学意义(P﹤0.05)。干预后,观察组患者的PT、APTT、TT均长于对照组患者,FIB、D-D水平均低于对照组患者,差异均有统计学意义(P﹤0.05)。干预后,观察组患者的SF-36各维度评分均高于对照组患者,差异均有统计学意义(P﹤0.05)。干预后,观察组患者的护理满意度总评分高于对照组患者,差异有统计学意义(P﹤0.05)。结论基于间歇式气压治疗的个性化健康管理能够降低肺癌患者下肢DVT的发生率,改善患者的生活质量,提高临床护理满意度,值得临床推广应用。Objective To explore the preventive effect of intermittent barometric therapy on lower extremity deep venous thrombosis(DVT)in patients with lung cancer based on comprehensive rehabilitation.Method A total of 82patients with lung cancer who were hospitalized in the People’s Hospital of Bozhou from January 2020 to December 2021 were selected and divided into control group(routine intervention)and observation group(individualized health management mode with intermittent barometric therapy on the basis of routine intervention)by using random number table method,with 41 cases in each group.Blood flow velocity of the lower extremity veins,occurrence of thrombosis,and thrombin function indexes[prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT),fibrinogen(FIB),D-dimer(D-D)]in both groups before and after intervention were compared.The quality of life and nursing satisfaction before and after intervention were compared between the two groups by using the 36-item short form health survey(SF-36)scale and the self-made nursing satisfaction scale.Result After intervention,blood flow velocity of lower extremity vein in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).After intervention,the incidence rate of lower extremity DVT in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).After intervention,PT,APTT and TT in observation group were longer,while the level of FIB and D-D were lower than those in control group,and the difference were statistically significant(P<0.05).After intervention,the various dimensional scores of SF-36in observation group were higher than those in control group,and the difference were statistically significant(P<0.05).After intervention,the total score of nursing satisfaction in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Individualized health management ba

关 键 词：综合康复 间歇式气压治疗 肺癌 下肢 深静脉血栓 

分 类 号：R543[医药卫生—心血管疾病]