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目的探讨广泛全子宫切除术后至出院全过程进行针对性个体化床上训练操,对预防下肢深静脉血栓(LEDVT)的效果。方法将107例妇科恶性肿瘤广泛根治术病例随机分为2组,对照组54例进行常规术后6h床上翻身和下地走动训练;实验组53例增加了个体化的床上操训练(麻醉未清醒时由护士协助):下肢肌肉挤捏按摩、关节伸曲旋转及下肢抬高的主被动运动,深呼吸和咳嗽等膈肌锻炼,观察术后下肢肿胀疼痛、腓肠肌Homans征阳性和LEDVT发生率,调查患者满意度。结果实验组术后下肢肿胀疼痛、腓肠肌Homans征阳性、LEDVT发生率(5.7%、1.9%、1.9%)均低于对照组(22.2%、16.7%、16.7%),满意度均高于对照组。结论个体化床上训练操可有效预防和减少术后LEDVT及其并发症的发生,患者满意度提高。
Objective To investigate the effect of targeted individualized bed training on the prevention of deep venous thrombosis (LEDVT) of lower extremities after extensive hysterectomy to discharge. Methods A total of 107 cases of radical gastrectomy for gynecologic malignant tumors were randomly divided into two groups. In the control group, 54 patients underwent routine 6-hour bed stand-up and ambulation training. Fifty-three patients in the experimental group increased individual bed exercise training Assisted by a nurse): Muscle kneading massage of the lower extremities, active and passive movement of joint flexion and rotation, deep breathing and coughing and other diaphragmatic exercises, postoperative swelling and pain of lower extremity, Homans sign positive of gastrocnemius muscle and incidence of LEDVT were investigated. degree. Results In the experimental group, the lower extremity swelled and the Homans sign of gastrocnemius was positive. The incidence of LEDVT was lower in the experimental group (22.2%, 16.7%, 16.7%) than in the control group (5.7%, 1.9%, 1.9% . Conclusion Individual bed training exercises can effectively prevent and reduce the incidence of postoperative LEDVT and its complications, and improve patient satisfaction.