间歇式充气压力泵联合踝泵运动对肝动脉灌注化疗患者的影响  

Effect of intermittent inflation pressure pump combined with ankle pump exercise onpatients undergoing hepatic artery infusion chemotherapy

作　　者：秦琳[1] 代宇洁 刘丽婷[3] 曹丽[4] 张景云 赵兆 QIN Lin;DAI Yujie;LIU Liting;CAO Li;ZHANG Jingyun;ZHAO Zhao(Department of Hepatology,Sanmenxia Central Hospital,Sanmenxia,Henan 472000,China;Department of Neurology,Sanmenxia Central Hospital,Sanmenxia,Henan 472000,China;Department of Gynecology,Sanmenxia Central Hospital,Sanmenxia,Henan 472000,China;ICU,Sanmenxia Central Hospital,Sanmenxia,Henan 472000,China;Department of Joint Surgery,Sanmenxia Central Hospital,Sanmenxia,Henan 472000,China;Department of Nephrology,Sanmenxia Central Hospital,Sanmenxia,Henan 472000,China)

机构地区：[1]三门峡市中心医院肝病科,河南三门峡472000 [2]三门峡市中心医院神经内科,河南三门峡472000 [3]三门峡市中心医院妇科,河南三门峡472000 [4]三门峡市中心医院ICU,河南三门峡472000 [5]三门峡市中心医院关节外科,河南三门峡472000 [6]三门峡市中心医院肾内科,河南三门峡472000

出　　处：《现代医药卫生》2024年第21期3667-3670,3674,共5页Journal of Modern Medicine & Health

摘　　要：目的探讨间歇式充气压力泵联合踝泵运动对肝动脉灌注化疗患者下肢深静脉血栓(DVT)的预防效果。方法选取2021年3月至2023年3月该院收治的120例肝动脉灌注化疗患者,采取随机数字表法分为对照组(60例)和观察组(60例)。对照组实施常规护理,观察组实施间歇式充气压力泵联合踝泵运动,比较2组D二聚体(DD)、纤维蛋白原(FIB)、纤维蛋白原降解产物(FDP)水平等。结果干预前,2组DD、FIB、FDP水平比较,差异无统计学意义(P>0.05)。干预后,观察组DD、FIB、FDP水平低于对照组,差异有统计学意义(P<0.05)。观察组下肢肿胀情况、下床活动时间、住院时间优于对照组,差异有统计学意义(P<0.05)。观察组下肢DVT发生率为15.00%(9/60),高于对照组的3.33%(2/60),差异有统计学意义(P=0.027)。观察组护理满意度[95.00%(57/60)]高于对照组[78.33%(47/60)],差异有统计学意义(P<0.05)。结论间歇式充气压力泵联合踝泵运动能有效改善肝动脉灌注化疗患者凝血功能,缩短下床活动时间、住院时间,降低下肢DVT发生率,提高护理满意度。Objective To explore the preventive effect of intermittent inflation pressure pump combined with ankle pump exercise on lower limb deep vein thrombosis(DVT)in patients undergoing hepatic artery infusion chemotherapy.Methods A total of 120 patients undergoing hepatic artery infusion chemotherapy admitted to the hospital from March 2021 to March 2023 were randomly divided into control group(60 cases)and observation group(60 cases)by random number table method.The control group received routine nursing care,while the observation group received intermittent pneumatic pressure pump combined with ankle pump exercise.The levels of D-dimer(DD),fibrinogen(FIB),and fibrinogen degradation products(FDP)were compared between the two groups.Results Before the intervention,there were no statistically significant differences in the levels of DD,FIB and FDP between the two groups(P>0.05).After intervention,the levels of DD,FIB and FDP in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The observation group had better lower limb swelling,bed activity time,and hospitalization time than the control group,and the differences were statistically significant(P<0.05).The incidence of lower limb DVT in the observation group was 15.00%(9/60),which was higher than the 3.33%(2/60)in the control group,and the difference was statistically significant(P=0.027).The nursing satisfaction of the observation group[95.00%(57/60)]was higher than that of the control group[78.33%(47/60)],and the difference was statistically significant(P<0.05).Conclusion Intermittent inflation pressure pump combined with ankle pump exercise can effectively improve the coagulation function of patients undergoing hepatic artery infusion chemotherapy,shorten the time of getting out of bed and hospitalization,reduce the incidence of lower limb DVT,and improve nursing satisfaction.

关 键 词：肝动脉灌注化疗 下肢 深静脉血栓 间歇式充气压力泵 踝泵运动 

分 类 号：R735.7[医药卫生—肿瘤]