穴位按摩预防妇科腹腔镜术后深静脉血栓发生的影响

发布时间：2018-05-14 17:24

本文选题：深静脉血栓 + 妇科　；参考：《中国中西医结合杂志》2016年08期

【摘要】：目的观察穴位按摩预防妇科腹腔镜术后不同风险级别深静脉血栓(deep venous thrombosis,DVT)发生的效果。方法利用Autar深静脉风险评估量表对2014年6—12月行妇科腹腔镜手术患者术前1天及术后24h进行评估,选出中、高危患者作为研究对象,中度风险组72例,高度风险组34例。将中、高风险患者按随机区组分为对照组和试验组。对照组给予常规护理加间歇性肢体气压治疗;试验组给予常规护理加穴位按摩(上巨虚、足三里、梁丘、阴市、伏兔)。检测患者术前、术后第1天、术后第5天红细胞聚集指数和乆窝静脉血流速度及统计术后血栓发生率。结果本研究中共有4例发生下肢DVT,中、高危患者各有2例,中危患者中对照组下肢DVT发生率为5.6%(2/36),试验组为0.0%(0/36);高危患者依次为11.8%(2/17)及0.0%(0/17)。中、高危患者中试验组患者血栓发生率均明显低于对照组(P0.05)。中、高危患者术后第1天与术前比较,红细胞聚集指数明显升高,血流速度显著降低(P0.05)。术后第5天红细胞聚集指数较术后第1天降低,乆静脉血流速度则升高(P0.05)。与对照组比较,试验组术后第5天红细胞聚集指数明显降低、乆静脉血流速度升高(P0.05)。结论对于Autar评估中、高危患者,在给予常规护理的同时辅助穴位按摩有利于预防术后DVT的发生。
[Abstract]:Objective to observe the effect of acupoint massage on the prevention of deep venous thromboembolism (DVT) with different risk levels after gynecological laparoscopy. Methods the Autar deep vein risk assessment scale was used to evaluate the patients undergoing gynecological laparoscopic surgery 1 day before operation and 24 hours after operation from June to December 2014. High-risk patients were selected as the study subjects, 72 patients in the moderate risk group and 34 in the high risk group. Middle and high risk patients were randomly divided into control group and trial group. The control group was treated with routine nursing and intermittent limb barometric therapy, while the experimental group was given routine nursing and acupoint massage (Shangjuxu, Zusanli, Liang Qiu, Yin City, Fu Hu). The erythrocyte aggregation index (RBC) and the blood flow velocity of the nests were measured before operation, 1 day after operation and 5 days after operation, and the incidence of postoperative thrombus was counted. Results in this study, there were 4 cases of DVT in lower extremity, 2 cases in high risk group and 2 cases in middle risk group. The incidence of lower limb DVT in the control group was 5. 6% / 36%, that in the trial group was 0. 0 / 36, and that in the high risk group was 11. 8% / 17) and 0 / 17% respectively. The incidence of thrombus in the test group was significantly lower than that in the control group (P 0.05). The erythrocyte aggregation index was significantly increased and the blood flow velocity was significantly decreased on the first day after operation in high risk patients compared with that before operation. On the 5th day after operation, the erythrocyte aggregation index was lower than that on the first day after operation, and the velocity of venous blood flow was higher than that on the first day after operation. Compared with the control group, the erythrocyte aggregation index was significantly decreased and the venous blood flow velocity was increased in the experimental group on the 5th day after operation. Conclusion in the evaluation of Autar, the high risk patients were given routine nursing and acupoint massage to prevent the occurrence of DVT after operation.
【作者单位】：重庆医科大学附属第二医院护理部;
【基金】：重庆市卫计委中医药科技项目(No.ZY201402093)
【分类号】：R473.71

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