摘要
目的:探讨足底静脉泵在预防脊柱创伤术后深静脉血栓形成的有效性和安全性。方法:将2011年6月至2012年7月收治的脊柱损伤患者86例,随机分为观察组和对照组,每组各43例。术后均给予常规药物预防和护理干预,观察组在此基础上增加给予足底静脉泵物理干预。分别于术前和术后7 d行下肢彩色多普勒超声检查,比较两组患者DVT发生率、下肢肿胀和D-二聚体含量。结果:术后7 d,两组患者下肢肿胀明显缓解,其中观察组下肢周径差值仅为(1.3±0.3)cm,显著小于对照组(P<0.05),且D-二聚体含量呈下降趋势,仅为(0.6±0.1)ng/L,显著低于对照组(P<0.01)。两组患者术后7 d深静脉血栓发生率分别为2.3%和18.6%,观察组较低(P<0.05),两组在治疗过程中均未出现明显的不良反应。结论:足底静脉泵在预防脊柱创伤术后深静脉血栓形成中具有较好的临床效果,且能够安全、够快速缓解腿部肿胀,值得临床推广。
Objective： To investigate the efficiency and safety of sole vein pump in the prevention of deep vein thrombosis （DVT） after spinal surgery. Methods： Eighty-six patients with spinal injury were randomly divided into 2 groups and 43 patients for each group, patients in control group were given common drug and nursing care preventions, others in the observation group were given physical therapy by sole vein pump beside common treatment. DVT was diagnosed by lower extremity color Doppler ultrasound before and 7 days after surgery, and the indexes of DVT incidence, leg swelling and D-dimer were evaluated. Results： After 7 days treatment, leg swelling in both 2 groups eased; in observation group, the lower limb circumference changed at （1.3 ±0.3 ） cm and amount of D-dimer decreased （0.6±0.1） ng/L, which were both lower than that in the control group （P〈0.05）, and the incidence of DVT of 2 groups was 2.3% （observation group） and 18.6% （control group） （P〈0.05）, and there were no complication in two groups. Conclusion： Sole vein pump could safely and fast ease the swelling of leg, which showed good efficiency in the prevention of deep vein thrombosis after spinal surgery, it is worthy of clinical promotion.
出处
《大理学院学报（综合版）》
CAS
2013年第9期59-61,共3页
Journal of Dali University
关键词
脊柱
外科学
足底静脉泵
深静脉血栓
预防
spinal
surgery
sole vein pump
deep vein thrombosis
prevention
