本文選題：深靜脈血栓 + 婦科　； 參考：《中國中西醫(yī)結(jié)合雜志》2016年08期

【摘要】：目的觀察穴位按摩預(yù)防婦科腹腔鏡術(shù)后不同風(fēng)險級別深靜脈血栓(deep venous thrombosis,DVT)發(fā)生的效果。方法利用Autar深靜脈風(fēng)險評估量表對2014年6—12月行婦科腹腔鏡手術(shù)患者術(shù)前1天及術(shù)后24h進(jìn)行評估,選出中、高�；颊咦鳛檠芯繉ο�,中度風(fēng)險組72例,高度風(fēng)險組34例。將中、高風(fēng)險患者按隨機(jī)區(qū)組分為對照組和試驗(yàn)組。對照組給予常規(guī)護(hù)理加間歇性肢體氣壓治療;試驗(yàn)組給予常規(guī)護(hù)理加穴位按摩(上巨虛、足三里、梁丘、陰市、伏兔)。檢測患者術(shù)前、術(shù)后第1天、術(shù)后第5天紅細(xì)胞聚集指數(shù)和乆窩靜脈血流速度及統(tǒng)計術(shù)后血栓發(fā)生率。結(jié)果本研究中共有4例發(fā)生下肢DVT,中、高�；颊吒饔�2例,中危患者中對照組下肢DVT發(fā)生率為5.6%(2/36),試驗(yàn)組為0.0%(0/36);高�；颊咭来螢�11.8%(2/17)及0.0%(0/17)。中、高危患者中試驗(yàn)組患者血栓發(fā)生率均明顯低于對照組(P0.05)。中、高危患者術(shù)后第1天與術(shù)前比較,紅細(xì)胞聚集指數(shù)明顯升高,血流速度顯著降低(P0.05)。術(shù)后第5天紅細(xì)胞聚集指數(shù)較術(shù)后第1天降低,乆靜脈血流速度則升高(P0.05)。與對照組比較,試驗(yàn)組術(shù)后第5天紅細(xì)胞聚集指數(shù)明顯降低、乆靜脈血流速度升高(P0.05)。結(jié)論對于Autar評估中、高危患者,在給予常規(guī)護(hù)理的同時輔助穴位按摩有利于預(yù)防術(shù)后DVT的發(fā)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.
【作者單位】： 重慶醫(yī)科大學(xué)附屬第二醫(yī)院護(hù)理部;
【基金】：重慶市衛(wèi)計委中醫(yī)藥科技項(xiàng)目(No.ZY201402093)
【分類號】：R473.71

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