空气压力波治疗预防妇科盆腔手术后静脉血栓栓塞症的价值分析  

Value analysis of air pressure wave therapy in preventing venous thromboembolism after gynecological pelvic surgery

作　　者：林少梅 杨思光 姚数 李琪 苏春梅 徐曼莉 LIN Shao-mei;YANG Si-guang;YAO Shu(Zhongda Huiya Hospital,Huizhou 516081,China)

机构地区：[1]惠州市中大惠亚医院,516081

出　　处：《中国实用医药》2025年第7期45-48,共4页China Practical Medicine

基　　金：惠州市医疗卫生领域科技计划项目(项目编号:2022CZ010393)。

摘　　要：目的探讨空气压力波治疗预防妇科盆腔手术后静脉血栓栓塞症(VTE)的价值。方法560例接受妇科盆腔手术治疗的患者,随机分为对照组(250例)与观察组(310例)。对照组采用常规措施预防术后VTE,观察组在常规预防措施基础上加用空气压力波治疗。比较两组术后7 d凝血功能指标[凝血酶原时间(PT)、血小板计数(PLT)、纤维蛋白原(FIB)、D-二聚体(D-D)、血浆粘度、血小板聚集率、血细胞比容]、术后1个月VTE发生情况及术后满意度。结果术后7 d,观察组PLT(165.39±37.21)×10^(9)/L、FIB(3.26±0.83)g/L、D-D(0.43±0.13)mg/L、血浆粘度(3.27±0.26)mPa·s、血小板聚集率(32.38±3.14)%、血细胞比容(36.54±4.23)%低于对照组的(182.91±42.56)×10^(9)/L、(4.55±0.91)g/L、(0.65±0.15)mg/L、(4.96±0.42)mPa·s、(39.72±4.38)%、(43.33±6.53)%,差异有统计学意义(P<0.05);两组PT比较差异无统计学意义(P>0.05)。观察组术后1个月VTE发生率0.3%(1/310)低于对照组的2.4%(6/250),差异有统计学意义(P<0.05)。观察组术后满意度评分为(81.1±9.7)分,对照组为(78.0±11.0)分,观察组患者术后满意度评分比对照组更高,差异有统计学意义(t=3.540,P=0.000<0.05)。结论空气压力波治疗能显著降低妇科盆腔手术后VTE发生率,提高患者术后治疗的满意度。Objective To explore the value of air pressure wave therapy in preventing venous thromboembolism(VTE)after gynecological pelvic surgery.Methods 560 patients who underwent gynecological pelvic surgery were randomly divided into a control group(250 cases)and an observation group(310 cases).In the control group,routine measures were taken to prevent postoperative VTE;in the observation group,air pressure wave therapy was given in addition to routine preventive measures.Comparison of the coagulation function indicators[prothrombin time(PT),platelet count(PLT),fibrinogen(FIB),D-dimer(D-D),plasma viscosity,platelet aggregation rate,hematocrit]at 7 d after surgery,occurrence of VTE at 1 month after surgery,and postoperative satisfaction between the two groups.Results At 7 d after surgery,the observation group had PLT of(165.39±37.21)×10^(9)/L,FIB of(3.26±0.83)g/L,D-D of(0.43±0.13)mg/L,plasma viscosity of(3.27±0.26)mPa·s,platelet aggregation rate of(32.38±3.14)%,and hematocrit of(36.54±4.23)%,which were lower than(182.91±42.56)×10^(9)/L,(4.55±0.91)g/L,(0.65±0.15)mg/L,(4.96±0.42)mPa·s,(39.72±4.38)%,and(43.33±6.53)%in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in PT between the two groups(P>0.05).The incidence of VTE at 1 month after surgery in the observation group was 0.3%(1/310),which was lower than 2.4%(6/250)in the control group,and the difference was statistically significant(P<0.05).The postoperative satisfaction score of the observation group and the control group were(81.1±9.7)and(78.0±11.0)points;the postoperative satisfaction score of the observation group was higher than that of the control group,and the difference was statistically significant(t=3.540,P=0.000<0.05).Conclusion Air pressure wave therapy can significantly reduce the incidence of VTE after gynecological pelvic surgery and improve patient satisfaction with postoperative treatment.

关 键 词：空气压力波治疗 妇科盆腔手术 静脉血栓栓塞症 术后满意度 

分 类 号：R713[医药卫生—妇产科学]