本文關(guān)鍵詞：氣壓治療對(duì)剖宮產(chǎn)術(shù)后患者下肢肌力恢復(fù)和預(yù)防下肢靜脈血栓形成的作用　出處：《中國現(xiàn)代醫(yī)學(xué)雜志》2016年20期 　論文類型：期刊論文

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【摘要】：目的探討剖宮產(chǎn)術(shù)后給予氣壓及間歇按摩兩種不同方式對(duì)肌力恢復(fù)及預(yù)防下肢靜脈血栓的影響。方法選取中國醫(yī)科大學(xué)附屬盛京醫(yī)院2014年1月1日-2015年1月1日無合并癥足月剖宮產(chǎn)患者200例,均于聯(lián)合阻滯麻醉下行子宮下段剖宮產(chǎn)術(shù)。隨機(jī)分為實(shí)驗(yàn)組(n=100)和對(duì)照組(n=100),實(shí)驗(yàn)組患者術(shù)后返回病房后立即給予雙下肢氣壓治療2 h,對(duì)照組術(shù)后給予患者雙下肢間歇按摩2 h。分別觀察干預(yù)后1 h、2 h患者雙下肢肌力恢復(fù)情況,評(píng)估術(shù)后24小時(shí)發(fā)生血栓的風(fēng)險(xiǎn),隨訪1月后兩組患者產(chǎn)生下肢靜脈血栓的人數(shù)并記錄。結(jié)果實(shí)驗(yàn)組患者1 h肌力恢復(fù)到4級(jí)的陽性率為78%,對(duì)照組患者1 h肌力恢復(fù)到4級(jí)的陽性率為60%,兩組比較差異具有統(tǒng)計(jì)學(xué)意義,χ2=7.574,P0.05;實(shí)驗(yàn)組患者2 h肌力恢復(fù)到5級(jí)的陽性率為95%,對(duì)照組患者2h肌力恢復(fù)5級(jí)的陽性率為65%,兩組比較差異具有統(tǒng)計(jì)學(xué)意義,χ2=28.125,P0.05;兩組患者的年齡,體重指數(shù),手術(shù)時(shí)間及術(shù)中出血量比較差異無統(tǒng)計(jì)學(xué)意義(P0.05);兩組患者術(shù)后24 h內(nèi)血紅蛋白、紅細(xì)胞比容及凝血五項(xiàng)的比較差異無統(tǒng)計(jì)學(xué)意義(P0.05)。兩組患者術(shù)后均無下肢靜脈血栓形成。結(jié)論氣壓治療有助于剖宮產(chǎn)術(shù)后患者雙下肢肌力的恢復(fù);兩組治療方式對(duì)患者術(shù)后并發(fā)下肢血栓風(fēng)險(xiǎn)無明顯差別;隨訪1個(gè)月均無1人發(fā)生深靜脈血栓。
[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.
【作者單位】： 中國醫(yī)科大學(xué)附屬盛京醫(yī)院;
【分類號(hào)】：R473.71
【正文快照】： 妊娠晚期由于生理獲得性易栓因素的存在和血流動(dòng)力學(xué)的改變,下肢靜脈血栓的發(fā)病率較高。英國學(xué)者對(duì)此做過統(tǒng)計(jì),妊娠期間的發(fā)病率在1%~2%左右[1]。伴隨著近年來高齡孕產(chǎn)婦數(shù)量的增加及飲食結(jié)構(gòu)的變化,剖宮產(chǎn)術(shù)后產(chǎn)婦下肢肌張力恢復(fù)比較緩慢,常常容易并發(fā)下肢靜脈血栓[2],因此,

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