摘要
目的探讨中医康复护理联合气压治疗对髋关节术后血栓预防的效果.方法研究对象选取2019年1—12月间于江苏省中医院实施髋关节手术治疗的74例患者,患者术后均实施中医康复护理,采用随机抽签的方式将其中37例纳入研究组,联合实施气压治疗,而剩余的37例则自动划分至常规组,比较两组在血栓预防方面的效果.结果常规组和研究组术前的疼痛评分对比,差异无统计学意义(P>0.05);术后1周时研究组的疼痛评分明显低于常规组,组间对比差异有统计学意义(P<0.05).研究组术后1周纤维蛋白降解产物(FDPs)水平为(9.01±2.11)μg/L,D-二聚体水平为(0.29±0.04)mg/L,均低于常规组,差异有统计学意义(P<0.05);研究组术后1周股总静脉和腘静脉的血流峰值(22.89±4.13)cm/s和(25.47±3.82)cm/s均明显快于常规组,差异显著有统计学意义(P<0.05).研究组下肢深静脉血栓的发生率2.7%明显低于常规组10.81%,组间对比差异有统计学意义(P<0.05).结论对髋关节手术治疗患者联合使用气压治疗和中医康复护理有助于患者下肢功能的恢复,促进下肢血液循环,减少血栓的发生,起到显著的预防效果.
Objective To explore the effect of traditional Chinese medicine rehabilitation nursing combined with air pressure treatment on prevention of thrombus after hip joint operation.Methods The subjects selected 74 patients who underwent hip joint surgery in Jiangsu Province Hospital of Traditional Chinese Medicine from January to December 2019.All patients received traditional Chinese medicine rehabilitation nursing after operation.37 patients were randomly selected into the study group and treated with air pressure.The other 37 patients were automatically divided into the routine group.The application effect of the two groups in the prevention of thrombus were compared.Results The difference in the preoperative pain score of the routine group and the study group was not statistically significant(P>0.05);the postoperative pain score of the study group was significantly lower than that of the routine group at 1 week after surgery,and the difference between the groups was statistically significant(P<0.05).The level of FDPs in the study group was(9.01±2.11)μg/L,the level of D-dimer was(0.29±0.04)mg/L at 1 week after operation,both of which were lower than those of the conventional group,and the differences were statistically significant(P<0.05);the peak blood flow of femoral vein and popliteal vein in the study group at 1 week after operation were(22.89±4.13)cm/s and(25.47±3.82)cm/s,whic were significantly faster than those in the conventional group,and the differences were significant(P<0.05).The incidence of deep vein thrombosis in the lower extremity of the study group was 2.70%,lower than 10.81%in the routine group,the difference was statistically significant(P<0.05).Conclusion The combination of air pressure therapy and traditional Chinese medicine rehabilitation nursing is helpful for the recovery of lower limb function,the promotion of lower limb blood circulation,the reduction of thrombosis,and the significant preventive effect.
作者
陶怡
TAO Yi(North 17thWard,Department of Orthopedics and Traumatology,Jiangsu Province Hospital of Traditional Chinese Medicine,Nanjing Jiangsu,210000,China)
出处
《反射疗法与康复医学》
2020年第17期49-51,共3页
Reflexology And Rehabilitation Medicine
关键词
髋关节置管术
中医康复护理
气压治疗
下肢深静脉血栓
预防效果
Hip joint catheterization
Traditional Chinese medicine rehabilitation nursing
Air pressure treatment
Deep vein thrombosis of lower extremity
Preventive effect
