妇科恶性肿瘤血栓风险极高危患者应用抗血栓梯度压力袜的效果分析  

Effect Analysis of Antithrombotic Gradient Pressure Socks Applied on Patients with Extremely High Risk of Thrombosis in Gynecological Malignant Tumor

作　　者：嵇升云 彭依雯 李雪硕 Ji Shengyun;Peng Yiwen;Li Xueshuo(Department of Obstetrics and Gynecology,The Seventh Medical Center,The PLA.General Hospital,Beijing 100000,China;不详)

机构地区：[1]解放军总医院第七医学中心,北京市100007

出　　处：《中国病案》2025年第2期109-112,共4页Chinese Medical Record

摘　　要：目的 探讨预防下肢静脉血栓时机前移:术前应用抗血栓梯度压力袜,对妇科恶性肿瘤血栓风险极高危患者下肢静脉血栓发生率的影响。方法 选取2022年1月1日-2023年12月31日收治的妇科恶性肿瘤、Caprini评估为极高危、在某院妇科行手术治疗的患者,其中2022年1月1日-2022年12月31日住院患者作为对照组,对照组实施常规护理:采取健康宣教、基础预防、运动预防、药物预防;2023年1月1日-2023年12月31日住院患者作为观察组,观察组在对照组基础上,增加物理预防手段,并且将预防下肢静脉血栓时机前移,即:手术当日早晨8:00指导患者穿戴梯度压力袜,对两组患者均发放调查问卷150份,回收问卷150份,回收有效率100%。观察两组患者术后第一天、第三天血清D-二聚体数值,双下肢疼痛、肿胀、下肢静脉血栓发生率,计量资料以(x±s)表示,组间计量资料比较采用t检验,计数资料采用χ^(2)检验,P<0.05表示差异有统计学意义。结果 观察组患者双下肢静脉血栓发生率低于对照组;观察组患者术后第一天血清D-二聚体(0.52±0.15)、术后第三天D-二聚体(0.36±0.16)均低于对照组,差异均有统计学意义。结论 增加物理预防手段,并且将预防下肢静脉血栓时机前移,能有效降低妇科恶性肿瘤术后患者下肢静脉血栓发生率,值得临床推广应用。Objectives To investigate the effect of preoperative application of antithrombotic gradient pressure socks on the incidence of lower extremity venous thrombosis in patients with high risk of gynecological malignant tumor thrombosis.Methods Patients with gynecological malignant tumors and thrombus Caprini admitted to PLA General Hospital from January 1st,2022 to December 31st,2023 who were assessed as extremely high risk and underwent surgical treatment were selected,and patients hospitalized from January 1st,2022 to December 31st,2022 were selected as the control group to implement routine care:taking health education,basic prevention,exercise prevention,drug prevention.Patients hospitalized from January 1st,2023 to December 31st,2023 were included in the observation group.The observation group was added with physical preventive measures on the basis of the control group,and the timing of preventing venous thrombosis of lower limbs was moved forward,that was,at 8 am on the day of surgery.150 questionnaires were distributed to both groups of patients,and 150 questionnaires were recovered,with an effective rate of 100%.Serum D-dimer values,pain and swelling of both lower extremities,and incidence of venous thrombosis of lower extremities were observed in the two groups on the first and third day after surgery.The measurement data were expressed as(x±s),the measurement data were compared by t test,and the counting data were compared by x^(2) test,P<0.05 indicated statistically significant differences.Results The incidence of venous thrombosis in the observation group was lower than that in the control group.Serum D-dimer(0.52±0.15)and D-dimer(0.36±0.16)on the first day after surgery in observation group were lower than those in control group,the differences were statistically significant(P<0.05).Conclusions The increase of physical prevention means and the advance of the time to prevent venous thrombosis of lower limbs,could effectively reduce the incidence of venous thrombosis of lower limbs in patients with gyn

关 键 词：梯度压力袜 下肢静脉血栓 血栓风险极高危 恶性肿瘤 

分 类 号：R473.73[医药卫生—护理学]