气压治疗对剖宫产术后患者下肢肌力恢复和预防下肢静脉血栓形成的作用

发布时间：2018-01-07 12:42

本文关键词：气压治疗对剖宫产术后患者下肢肌力恢复和预防下肢静脉血栓形成的作用　出处：《中国现代医学杂志》2016年20期 　论文类型：期刊论文

【摘要】：目的探讨剖宫产术后给予气压及间歇按摩两种不同方式对肌力恢复及预防下肢静脉血栓的影响。方法选取中国医科大学附属盛京医院2014年1月1日-2015年1月1日无合并症足月剖宫产患者200例,均于联合阻滞麻醉下行子宫下段剖宫产术。随机分为实验组(n=100)和对照组(n=100),实验组患者术后返回病房后立即给予双下肢气压治疗2 h,对照组术后给予患者双下肢间歇按摩2 h。分别观察干预后1 h、2 h患者双下肢肌力恢复情况,评估术后24小时发生血栓的风险,随访1月后两组患者产生下肢静脉血栓的人数并记录。结果实验组患者1 h肌力恢复到4级的阳性率为78%,对照组患者1 h肌力恢复到4级的阳性率为60%,两组比较差异具有统计学意义,χ2=7.574,P0.05;实验组患者2 h肌力恢复到5级的阳性率为95%,对照组患者2h肌力恢复5级的阳性率为65%,两组比较差异具有统计学意义,χ2=28.125,P0.05;两组患者的年龄,体重指数,手术时间及术中出血量比较差异无统计学意义(P0.05);两组患者术后24 h内血红蛋白、红细胞比容及凝血五项的比较差异无统计学意义(P0.05)。两组患者术后均无下肢静脉血栓形成。结论气压治疗有助于剖宫产术后患者双下肢肌力的恢复;两组治疗方式对患者术后并发下肢血栓风险无明显差别;随访1个月均无1人发生深静脉血栓。
[Abstract]:Objective to investigate the effect of two different methods of air pressure and intermittent massage after cesarean section on the recovery of muscle strength and prevention of venous thrombosis in lower extremity. Methods from January 1st 2014 to 20, 2001, Shengjing Hospital, affiliated to China Medical University, was selected. In January 1st, there were 200 cases of full term cesarean section without complications. Cesarean section of lower uterine segment was performed under combined block anesthesia. The patients were randomly divided into two groups: the experimental group (n = 100) and the control group (n = 100). The patients in the experimental group were treated with lower extremity barometric therapy for 2 hours immediately after returning to the ward, while the patients in the control group were given intermittent massage for 2 hours. The recovery of muscle strength of both lower extremities in 2 h patients was evaluated to assess the risk of thrombosis 24 hours after operation. The number of patients with venous thrombosis in the lower extremity was recorded after the follow-up of January. Results the positive rate of muscle strength returning to grade 4 in the experimental group was 78%. In the control group, the positive rate of muscle strength returning to grade 4 at 1 hour was 60. The difference between the two groups was statistically significant (蠂 2, 7.574, P 0.05). The positive rate of the recovery of muscle strength from 2 hours to grade 5 was 95 in the experimental group and 65 in the control group. The difference between the two groups was statistically significant (蠂 2 / 28.125). P0.05; There was no significant difference in age, body mass index, operative time and intraoperative bleeding between the two groups (P 0.05). Hemoglobin was found within 24 hours after operation in both groups. There was no significant difference in the specific volume of erythrocyte and the five items of coagulation (P0.05). There was no venous thrombosis of lower extremity in both groups. Conclusion Pneumatic therapy is helpful to the recovery of lower extremity muscle strength after cesarean section. There was no significant difference in the risk of lower extremity thrombosis between the two groups. No deep venous thrombosis occurred in all of the patients followed up for 1 month.
【作者单位】：中国医科大学附属盛京医院;
【分类号】：R473.71
【正文快照】： 妊娠晚期由于生理获得性易栓因素的存在和血流动力学的改变,下肢静脉血栓的发病率较高。英国学者对此做过统计,妊娠期间的发病率在1%~2%左右[1]。伴随着近年来高龄孕产妇数量的增加及饮食结构的变化,剖宫产术后产妇下肢肌张力恢复比较缓慢,常常容易并发下肢静脉血栓[2],因此,

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