间歇充气加压装置的不同使用时长对预防髋/膝关节置换术后DVT发生率及安全性的对照研究  

Controlled study of the incidence and safety of different duration for using intermittent inflatable compression device in preventing DVP after hip/knee arthroplasty

作　　者：何春梅[3] 张红英[1] 陈丽娟 蒋红梅[1] 王婷婷[1] 廖天成 王双[1] 屈俊宏[2] HE Chunmei;ZHANG Hongying;CHEN Lijuan;JIANG Hongmei;WANG Tingting;LIAO Tiancheng;WANG Shuang;QU Junhong(The Second People's Hospital of Deyang City,Deyang 618000,Sichuan,China;Department of Osteology,West China Hospital of Sichuan University,Chengdu 610041,Sichuan,China)

机构地区：[1]德阳市第二人民医院,四川德阳618000 [2]四川大学华西医院骨科,四川成都610041 [3]德阳市第二人民医院护理部,四川德阳618000

出　　处：《护士进修杂志》2023年第6期496-501,共6页Journal of Nurses Training

基　　金：四川省护理科研课题计划(编号:H20023);德阳市科教计划项目(编号:2022SCZ111)。

摘　　要：目的探讨间歇充气加压装置不同使用时长对预防髋/膝关节置换术后深静脉血栓(DVT)的发生率及安全性。方法连续纳入2021年4月-2022年3月在德阳市第二人民医院关节外科行髋/膝关节置换术的患者98例,随机分为A、B、C组,在常规护理的基础上,3组均术后返回病房即刻启用间歇充气加压装置(IPC),A组使用30 min,每天2次;B组每天连续使用8 h;C组每天连续使用18 h,比较3组患者术后2周DVT发生率、不良反应及舒适度。结果最终纳入90例患者,A、B、C组DVT发生率分别为33.3%、3.33%和26.6%,差异有统计学意义(P<0.05),其中,A组和B组、B组和C组DVT发生率差异有统计学意义(P<0.05),A组和C组DVT发生率差异无统计学意义(P>0.05)。A、B、C组不良反应发生率分别为0,0,23.3%,差异有统计学意义(P<0.05),其中,A组与C组、B组与C组不良反应发生率差异有统计学意义(P<0.05),A组与B组不良反应差异无统计学意义(P<0.05)。A、B、C组患者舒适度评分总分四分位数分别为45(44,45)、44.5(43,45)、37(34,39),差异有统计学意义(P<0.05),其中,A组和C组、B组和C组舒适度评分差异有统计学意义(P<0.05),A组和B组舒适度差异无统计学意义(P>0.05)。结论髋/膝关节置换术后应用IPC每天8 h,患者的DVT的发生率最低,不良反应少,患者的舒适度较高。Objective To explore the incidence and safety of different duration for using intermittent inflatable compression device(IPC)in preventing deep vein thrombosis(DVT)after hip/knee arthroplasty.Methods A total of 98 patients who underwent hip/knee arthroplasty in the department of joint surgery of the Second People's Hospital in Deyang city from April 2021 to March 2022 was consecutively included,and was randomly divided into group A,B,and C by computer.On the basis of conventional care,the IPC was immediately activated while returning to the ward after the operation in all three groups.Group A used it for 30 min twice a day,and group B used it for 8 hours every day continuously,and group C used it for 18 hours every day continuously.The incidence of DVT,adverse reactions,and comfort of patients in the three groups were compared at 2 weeks after the operation.Results A total of 90 patients were finally included.The incidence of DVT in groups A,B,and C was 33.3%,3.33%,and 26.6%,respectively,and the differences were statistically significant(P<0.05);Among them,the differences in the incidences of DVT between group A and group B,group B and group C were statistically significant(P<0.05),and the difference in the incidence of DVT between group A and group C was not statistically significant(P>0.05).The incidences of adverse reactions in groups A,B,and C were 0%,0%,and 23.3%,respectively,and the differences were statistically significant(P<0.05);There were statistically significant differences in the incidences of adverse reactions between group A and group C,and between group B and group C(P<0.05),and there was no difference between group A and group B.The quartiles of total comfort scores in patients of groups A,B,and C were 45(44,45),44.5(43,45),and 37(34,39),respectively,and the differences were statistically significant(P<0.05);There were statistically significant differences in comfort scores between groups A and C,and groups B and C(P<0.05),and There was no statistically significant difference in comfort score be

关 键 词：间歇充气加压装置 使用时长 关节置换术 深静脉血栓 护理 

分 类 号：R472.9[医药卫生—护理学] R473.54[医药卫生—临床医学]