摘要
目的探讨我院自行设计的“踝泵运动训练仪”在髋部骨折患者血栓预防中的预防效果。方法选取2018年1月至2019年10月首次在我科住院的髋部骨折患者79例,按随机数字表法随机分为对照组41例,试验组38例,其中对照组为传统口头宣教指导踝泵运动锻炼预防血栓组,试验组为应用我院研发的踝泵运动训练仪进行踝泵运动锻炼预防血栓组。比较两组患者踝泵运动时长及角度的差异;使用彩色超声诊断仪检查79例髋部骨折患者下肢静脉血栓发生情况,对比两组患者血栓发生率。结果对照组每次踝泵运动≥5 min的12例,试验组36例;踝泵运动最大角度的患者对照组18例,试验组31例。试验组在时长及踝关节屈伸角度上均优于对照组(P<0.05);血栓发生率:对照组9.8%,试验组2.6%,两组比较差异无统计学意义(P>0.05),但试验组血栓发生率绝对值大幅小于对照组。结论踝泵运动训练仪在髋部骨折的血栓预防中,具有操作简单、患者锻炼数据可回溯、减少护士工作量、增加患者依从性等特点,能起到将踝泵运动时间量化、动作标准化的作用,达到更好的预防下肢深静脉血栓的目的,值得在临床中推广。
Objective To explore the prevention effect of“ankle pump exercise training instrument”designed by our hospital on the prevention of thrombosis in patients with hip fracture.Methods 79 cases of hip fracture patients who were first hospitalized in our department from January 2018 to October 2019 were selected and randomly divided into a control group(41 cases)and a test group(38 cases)according to the random number table method.The control group was given traditional oral education to guide ankle pump exercise to prevent thrombus,and the test group was given ankle pump exercise to prevent thrombus by the ankle pump exercise training instrument designed by our hospital.The duration and angle of ankle pump exercise were compared between the two groups.Color ultrasound was used to examine the incidence of venous thrombosis in the lower extremity of the patients,and the incidence of thrombosis was compared between the two groups.Results 12 cases in the control group and 36 cases in the test group had the time of ankle pump exercise≥5 min.18 cases with maximum angle of ankle pump exercise and 31 cases in the test group.The test group was better than the control group(P<0.05)in duration and ankle flexion and extension Angle.The incidence of thrombosis was 9.8%in the control group and 2.6%in the test group.There was no significant difference in the incidence of thrombosis between the two groups(P>0.05),but the absolute incidence of thrombosis in the test group was significantly lower than that in the control group.Conclusion Ankle pump exercise training instrument in hip fracture thrombosis prevention,with simple operation,traceable patient exercise data,reducing nurse workload,increasing patient compliance and so on,could play the role of quantifying the exercise time of ankle pump exercise and standardizing the exercise action,to achieve better prevention of deep vein thrombosis.It was worth popularizing in clinical practice.
作者
谌艳
江伟
王志聪
吴俞萱
Chen Yan;Jiang Wei;Wang Zhichong(Department of Orthopedics,Deyang People's Hospital,Sichuan 618000,China)
出处
《实用骨科杂志》
2020年第8期700-702,706,共4页
Journal of Practical Orthopaedics
基金
四川省卫生和计划生育委员会科技项目(17PJ408)
关键词
踝泵运动
深静脉血栓
髋部骨折
ankle pump exercise
deep venous thrombosis
hip fracture
