摘要
目的:观察中药外敷结合快速康复理念对髋部骨折术后下肢深静脉血栓(DVT)形成的预防效果。方法:选取105例髋部骨折且行人工髋关节置换术患者,按随机数字表法分为研究组53例和对照组52例。对照组在快速康复理念指导下进行围手术期护理,研究组在对照组基础上加用中药外敷治疗。比较2组术后当天及术后1个月患肢周径、DVT评分和DVT发生率,检测并记录2组术后当天及术后1个月血红蛋白(Hb)、D-二聚体(D-D)和纤维蛋白原(FIB)水平。结果:术后1个月,研究组患肢周径小于对照组(P<0.05)。经秩和检验,研究组临床疗效明显优于对照组(P<0.05)。术后1个月,研究组DVT发生率为7.55%,低于对照组的25.00%(P<0.05);研究组DVT评分为(5.37±1.63)分,低于对照组的(8.48±1.51)分(P<0.05);研究组Hb水平高于对照组(P<0.05),D-D、FIB水平均低于对照组(P<0.05)。结论:中药外敷结合快速康复理念可改善髋部骨折患者术后血液高凝状态,降低DVT发生率。
Objective: To observe the preventive effect of Chinese medicine external application combined with rapid rehabilitation concept on deep venous thrombosis(DVT) of lower extremities after hip fracture. Methods:A total of 105 cases of patients with hip fracture undergoing total hip arthroplasty were selected and divided into the study group and the control group according to the random number table method,53 and 52 cases in each group respectively. The control group was given perioperative nursing under the rapid rehabilitation concept,and the study group was additionally treated with Chinese medicine external application based on the treatment of the control group. On the operative day and the first month after surgery respectively, the perimeter of affected limbs, and the scores and incidences of DVT in the two groups were compared;the levels of hemoglobin(Hb),D-dimer(D-D) and fibrinogen(FIB) in the two groups were measured and recorded.Results:On the first month after surgery,the perimeter of affected limbs in the study group was shorter than that in the control group(P<0.05). The clinical effect in the study group was significantly better than that in the control group(P<0.05). On the first month after surgery,the incidence of DVT was 7.55% in the study group,lower than that of 25.00% in the control group(P<0.05);DVT score was(5.37±1.63) points in the study group,lower than that of(8.48±1.51) points in the control group(P<0.05);Hb level in the study group was higher than that in the control group(P<0.05),and the levels of D-D and FIB were lower(P<0.05). Conclusion: Chinese medicine external application combined with rapid rehabilitation concept for patients with hip fracture can improve their postoperative hypercoagulable state and reduce the incidence of DVT.
作者
胡桂霞
尼春雨
张圆圆
HU Guixia;NI Chunyu;ZHANG Yuanyuan
出处
《新中医》
CAS
2021年第7期209-212,共4页
New Chinese Medicine
关键词
髋部骨折
下肢深静脉血栓
中药外敷
快速康复理念
血红蛋白
D-二聚体
纤维蛋白原
Hip fracture
Deep venous thrombosis of lower extremities
Chinese medicine external application
Rapid rehabilitation concept
Hemoglobin
D-dimer
Fibrinogen
