术前练习床上活动对术后血栓形成的预防效果观察  

Effect Observations of Preoperative Bed Exercise on the Prevention of Postoperative Thrombogenesis

作　　者：陈香宏 徐静文 CHEN Xianghong XU Jingwen(Department of Thyroid and Breast Surgery,the First People’s Hospital of Shangqiu City,Shangqiu Henan 476000,China)

机构地区：[1]商丘市第一人民医院甲状腺乳腺外科,河南商丘476000

出　　处：《临床研究》2023年第11期99-102,共4页Clinical Research

摘　　要：目的 分析术前练习床上活动对术后血栓形成的效果。方法 选取商丘市第一人民医院80例甲状腺疾病患者,纳入时间在2021年1月至2022年6月,依照有无术前练习床上活动分为两组,对照组(n=40)中术前未练习床上活动,研究组(n=40)术前练习床上活动。对比分析患者不良情绪[汉密尔顿焦虑量表(HAMA)和抑郁量表(HAMD)评价]、颈部活动度、生活质量(GQOLI-74)、患者满意度率、及并发症发生率。结果 HAMA、HAMD评分对比,干预前两组对比,差异无统计学意义(P> 0.05),干预后两组评分均明显降低,且研究组评分更低,差异有统计学意义(P<0.05)。颈部活动度对比,干预前两组对比,差异无统计学意义(P> 0.05),干预后两组活动度均明显降低,且研究组活动度更大,差异有统计学意义(P<0.05)。GQOLI-74评分对比,干预前两组对比,差异无统计学意义(P> 0.05),干预后两组评分均明显降低,且研究组评分更高,差异有统计学意义(P<0.05)。患者满意度对比,研究组满意率(95.00%)高于对照组(77.50%),差异有统计学意义(P<0.05)。研究组并发症发生率(2.50%)低于对照组(17.50%),差异有统计学意义(P<0.05)。结论 术前练习床上活动,能有改善患者不良情绪、降低并发症,改善患者颈部活动与促进生活质量和满意度的提高。Objective To analyze the prevention effects of preoperative bed exercise in the postoperative thrombogenesis.Methods A total of 80 patients with thyroid diseases from the First People's Hospital of Shangqiu City were selected and included from January 2021 to June 2022.They were divided into two groups based on whether they had preoperative exercise bed activities or not.The preoperative bed exercise was not performed in the control group(n=40);the preoperative bed exercise was performed in the study group(n=40).The negative emotions like Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)scores,cervical range of motion,generic quality of life inventory-74(GQOLI-74)scores,patient satisfaction and surgical complications were compared.Results Comparison of HAMA and HAMD scores,There was no statistically significant difference in the comparison between the two groups before intervention(P>0.05),but the scores of both groups decreased significantly after intervention,with a statistically significant difference(P<0.05).Comparison of neck mobility,there was no statistically significant difference in the comparison between the two groups before intervention(P>0.05),but after intervention,the activity of both groups decreased significantly,and compared with the control group,the activity of the study group was greater,with a statistically significant difference(P<0.05);Comparison of GQOLI-74 scores,there was no statistically significant difference in the comparison between the two groups before intervention(P>0.05),but the scores of both groups decreased significantly after intervention,and compared with the control group,the scores of the study group were higher,with a statistically significant difference(P<0.05);The satisfaction rate of patients in the study group(95.00%)was higher than that in the control group(77.50%),and the difference was statistically significant(P<0.05).The incidence of complications in the study group(2.50%)was lower than that in the control group(17.50%),with a statistically signifi

关 键 词：术前 床上活动 血栓 甲状腺疾病 生活质量 

分 类 号：R581[医药卫生—内分泌]