踝泵运动联合下肢运动指导预防下肢深静脉血栓术后血栓再发的效果观察  

Effect of ankle pump exercise combined exercise guidance for lower limb in preventing postoperative recurrence of deep vein thrombosis

作　　者：卜楠 姜海英[1] 缪苏宇[1] 章希炜[1] BU Nan;JIANG Haiying;MIAO Suyu(Department of General Surgery and Vascular Surgery,Jiangsu Province Hospital,Jiangsu,Nanjing 210029,China)

机构地区：[1]江苏省人民医院普外血管外科,南京市210029

出　　处：《河北医药》2024年第18期2813-2816,共4页Hebei Medical Journal

摘　　要：目的分析踝泵运动联合下肢运动指导预防下肢深静脉血栓(DVT)术后血栓再发的效果。方法本次进行对照研究,选取2021年1月至2022年6月江苏省人民医院普外血管外科住院并接受介入手术的DVT患者88例作为研究对象。调取各项资料,使用随机摸球法分组,分为对照组和观察组,每组44例。对照组给予系统护理,观察组在此基础上,给予踝泵运动联合下肢运动指导。干预前后对2组的血流动力学指标进行分析,对比2组的护理满意度及随访6个月的血栓再发率。结果干预后,2组股静脉平均血流速度、血流峰值和血流量均上升(P<0.05),且观察组均高于对照组(P<0.05)。对照组的护理满意率为86.36%,低于观察组的100.00%,差异有统计学意义(P<0.05)。对照组的血栓再发率为15.91%,高于观察组的2.27%,差异有统计学意义(P<0.05)。结论踝泵运动联合下肢运动指导对于下肢DVT术后血栓再发有预防效果,可以改善下肢血流动力学,提高护理满意度。Objective To analyze the effect of ankle pump exercise combined with exercise guidance for lower limb in preventing postoperative recurrence of deep vein thrombosis(DVT),thus providing some reference for clinical.Methods This was a clinical controlled study.Totally 88 DVT patients who visited Department of General Surgery and Vascular Surgery,Jiangsu Province Hospital and underwent interventional surgery for lower limb from January 2021 to June 2022 were enrolled as subjects.The data of patients were collected,and the patients were divided into the control group(n=44)and the observation group(n=44)by random ball touching method.All patients were given systematic nursing plan,those in the observation group were additionally given ankle pump exercise combined with exercise guidance for lower limb.The hemodynamic indexes,nursing satisfaction,and recurrence rate of thrombosis within 6 months of follow-up were included as comparators.Results After the intervention,the average blood flow velocity,peak blood flow and blood flow volume of the femoral vein in both groups were significantly increased(P<0.05),which in the observation group were significantly higher than those of the control group(P<0.05).The nursing satisfaction rate of the control group was significantly lower than that of the observation group(86.36%vs 100.00%,P<0.05).The recurrence rate of thrombus in the control group was significantly higher than that of the observation group(15.91%vs 2.27%,P<0.05).Conclusion Ankle pump exercise combined with exercise guidance for lower limb has a preventive effect on the recurrence of DVT,it can improve hemodynamics and increase nursing satisfaction.

关 键 词：踝泵运动 下肢运动指导 下肢深静脉血栓 术后血栓再发 

分 类 号：R619.2[医药卫生—外科学]