摘要
目的 探讨下肢不同抬高角度在大隐静脉曲张患者中的应用效果及对患者术后下肢肿胀及血流动力学的影响。方法 选取2021年1月至2022年12月收治的大隐静脉曲张患者90例为研究对象,根据随机数字表法分为A组、B组和C组,每组30例,3组患者下肢分别抬高15°、30°和45°,均行大隐静脉曲张术治疗。比较3组患者的下肢周长、血流动力学指标、治疗效果、睡眠质量、舒适度和术后并发症。结果 3组患者术后1 h的下肢周长均长于术前(P<0.05),术后8 h、12 h和24 h的下肢周长均短于术前(P<0.05);B组和C组术后4 h、8 h、12 h和24 h的下肢周长均短于A组(P<0.05)。3组患者术中平均动脉压和心率均低于术前(P<0.05),A组和C组的平均动脉压和心率均高于B组(P<0.05)。术后3个月,B组和C组的皮肤颜色改善分别为86.67%和90.00%,高于A组的60.00%;B组和C组的残余静脉团块评分分别为(0.40±0.09)分和(0.41±0.10)分,低于A组的(0.66±0.12)分(P<0.05)。3组患者术后24 h的PSQI评分均高于术前(P<0.05),A组和B组的PSQI评分低于C组;3组患者术后24 h的GCQ评分均低于术前(P<0.05),A组和B组的GCQ评分高于C组(P<0.05)。B组和C组的术后并发症发生率分别为6.67%和3.33%,低于A组的33.33%(P<0.05)。结论 大隐静脉曲张术围手术期下肢抬高30°,可提高下肢静脉曲张患者术后睡眠质量和舒适度,减轻下肢肿胀,提高术中血流动力学的稳定性和治疗效果,降低术后并发症发生率,效果显著。
Objective To investigate the effect of different lifting angles of lower limb on lower limb swelling and hemodynamics in patients with great saphenous varicose veins.Methods Totally 90 patients with great saphenous varicose veins admitted to our hospital from January 2021 to December 2022 were enrolled in the study.They were randomly assigned in a 1∶1∶1 ratio to group A,group B and group C according to a method of random number.The lower limbs of patients in the three groups were raised by 15°,30°and 45°respectively.All patients in the three groups were treated with great saphenous varicose vein surgery.The lower limb circumference,hemodynamic indicators,treatment effectiveness,sleep quality,comfort,and postoperative complications were included as comparisons among three groups.Results The lower limb circumferences of the three groups were significantly longer at hour 1 of surgery than those before surgery,and which of the three groups were significantly shorter at hours 8,12,and 24 of surgery than before surgery(P<0.05).The lower limb circumference of group B and group C was significantly shorter than that of group A at hours 4,8,12,and 24 of surgery(P<0.05).The intraoperative average arterial pressure and heart rate in the three groups were significantly lower than those before surgery,which in group A and group C were significantly higher than those in group B(P<0.05).The skin color improvement in group B and group C on month 3 of surgery was significantly higher than that of group A(86.67%vs 60.00%,90.00%vs 60.00%,respectively;P<0.05).The residual venous mass scores of group B and group C on month 3 of surgery were significantly lower than those of group A([0.40±0.09]points vs[0.66±0.12]points,[0.41±0.10]points vs[0.66±0.12]points,respectively;P<0.05).The Pittsburgh Sleep Quality Index(PSQI)scores of the three groups at hour 24 were significantly higher than those before surgery,which of group A and group B at hour 24 were significantly lower than those of Group C(P<0.05).The General Comfort Questi
作者
徐丽君
阮雅萍
XU Lijun;RUAN Yaping(Department of General Surgery,Liyang People’s Hospital,Jiangsu,Liyang 213300,China)
出处
《河北医药》
CAS
2024年第16期2450-2453,共4页
Hebei Medical Journal
基金
江苏省溧阳市人民医院科技项目(编号:2021YJKT0018)。
关键词
下肢静脉曲张
血流动力学
大隐静脉曲张术
下肢肿胀
睡眠质量
lower limb varicose veins
hemodynamics
great saphenous varicose vein surgery
lower limb swelling
sleep quality
