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目的观察抗血栓压力袜及气压治疗仪对全盆底重建术后预防下肢深静脉血栓形成(DVT)的影响。方法 2011年6月-2013年5月将91例全盆底重建术患者依据个人意愿分为试验组(n=42)和对照组(n=49),两组患者年龄、体质量指数(BMI)、受教育程度、麻醉及手术时间等一般情况差异无统计学意义(P>0.05)。对照组采用传统治疗护理。试验组术前30 min使用抗血栓压力袜,术后6 h联合应用气压治疗仪治疗至术后3 d下地行走。术后5~7 d行下肢血管彩色多普勒超声检查,观察两组患者下肢DVT的发生情况。结果试验组下肢DVT的发生率为2.38%,对照组下肢DVT的发生率为18.36%,两组患者比较差异有统计学意义(P<0.05)。出院时两组患者对预防术后下肢DVT的治疗护理工作满意度比较,试验组明显优于对照组(P<0.05)。结论术前30 min使用抗血栓压力袜,术后6 h开始联合应用气压治疗仪治疗,可有效预防全盆底重建术后下肢DVT的形成。
Objective To observe the effect of antithrombotic socks and bariatric instruments on the prevention of deep venous thrombosis (DVT) after pelvic floor reconstruction. Methods From June 2011 to May 2013, 91 patients with total pelvic floor reconstruction were divided into experimental group (n = 42) and control group (n = 49) according to their own wishes. The age and body mass index ), Education level, general anesthesia and operation time were not statistically different (P> 0.05). Control group using traditional treatment and care. The experimental group 30 min before using anti-thrombosis socks, 6 h after surgery combined with bariatric instrument treatment to 3 d after walking. Color Doppler ultrasound was performed on the lower extremities 5 to 7 days after operation to observe the incidence of DVT in the lower limbs of the two groups. Results The incidence of DVT in the lower extremity was 2.38% in the experimental group and 18.36% in the control group. The difference between the two groups was statistically significant (P <0.05). At the time of discharge, the two groups of patients were compared to the satisfaction of nursing care in preventing postoperative DVT of the lower extremity. The experimental group was significantly better than the control group (P <0.05). Conclusion Antithrombotic socks were used 30 min before operation, and the combination of barometric pressure therapeutic apparatus started 6 h after operation, which could effectively prevent the formation of lower extremity DVT after pelvic floor reconstruction.