摘要
目的探讨中药弹力袜在腹腔镜胃癌术后预防深静脉血栓(deep venous thrombosis,DVT)的应用效果。方法选取2022年1月至2024年6月于嘉兴市中医医院接受胃癌手术且Caprini血栓风险评估为中高危的患者96例,将其分为对照组和治疗组,每组48例。对照组患者采用常规DVT预防方案,治疗组患者在对照组基础上应用自制中药弹力袜。比较两组患者手术前后的凝血酶原时间(prothrombin time,PT)、活化部分凝血活酶时间(activated partial thromboplastin,APTT)、D-二聚体(D-dimer,DD)、血浆黏度、红细胞聚集指数、大腿周径差、舒适状况量表及彩色多普勒超声表现。结果术后3d、7d,治疗组患者的PT、APTT均显著长于对照组,DD、血浆黏度、红细胞聚集指数及大腿周径差均显著低于对照组(P<0.05),舒适状况量表评分显著高于对照组(P<0.05)。术后3d,治疗组患者的各项超声表现均显著优于对照组(P<0.05)。住院期间,治疗组患者的DVT发生率显著低于对照组(P<0.05)。结论中药弹力袜可改善腹腔镜胃癌术后患者的凝血功能、血液流变学及下肢肿胀,提升舒适度,降低DVT发生率。
Objective To explore the application effect of traditional Chinese medicine elastic stockings in preventing deep venous thrombosis(DVT)after laparoscopic gastric cancer surgery.Methods A total of 96 patients who underwent gastric cancer surgery at Jiaxing Hospital of Traditional Chinese Medicine from January 2022 to June 2024 and were assessed as medium-to-high risk for Caprini thrombosis were selected and divided into control group and treatment group,with 48 cases in each group.The patients of control group received the conventional DVT prevention protocol,while the patients of treatment group applied self-made traditional Chinese medicine elastic stockings on the basis of control group.The prothrombin time(PT),activated partial thromboplastin(APTT),D-dimer(DD),plasma viscosity,erythrocyte aggregation index,thigh circumference difference,comfort status scale and color Doppler ultrasound manifestations of two groups of patients before and after the operation were compared.Results On the 3rd and 7th days after the operation,the PT and APTT of patients in treatment group were significantly longer than those in control group,the DD,plasma viscosity,erythrocyte aggregation index and thigh circumference difference were significantly lower than those in control group,and the score of comfort status scale was significantly higher than that in control group(P<0.05).On the 3rd days after the operation,the various ultrasound manifestations of patients in treatment group were significantly better than those in control group(P<0.05).During hospitalization,the incidence of DVT in treatment group was significantly lower than that in control group(P<0.05).Conclusion Traditional Chinese medicine elastic stockings can improve the coagulation function,hemorheology and lower extremity swelling of patients after laparoscopic gastric cancer surgery,enhance comfort and reduce the incidence of DVT.
作者
沈燕
朱晓平
SHEN Yan;ZHU Xiaoping(Department of General Surgery,Jiaxing Hospital of Traditional Chinese Medicine,Jiaxing 314000,Zhejiang,China)
出处
《中国现代医生》
2025年第28期9-12,42,共5页
China Modern Doctor
基金
浙江省中医药科技计划项目(2024ZL1062)。
关键词
深静脉血栓
腹腔镜胃癌手术
中药弹力袜
Deep venous thrombosis
Laparoscopic gastric cancer surgery
Traditional Chinese medicine elastic stockings
