CAJ | 학술논문

目的探讨推拿预防老年髋部术后下肢深静脉血栓形成的的效果.方法回顾性分析我院2010年6月至2011年12月收治的42例老年髋部手术患者,分为对照组(20例)和观察组(22例).对照组采用常规药物抗凝治疗,观察组采用常规药物抗凝治疗的同时配合手法推拿治疗,比较两组患者术后肿胀及深静脉血栓形成情况.结果术后4周内常规行患肢彩色超声多普勒检查.对照组患者术后第10天有1例出现患肢明显肿胀,彩色超声多普勒提示DVT,观察组患者未发现DVT,差异具有统计学意义(P＜0.05).结论手法推拿能有助于预防患者深静脉血栓形成.而且操作简单,成本低,能增加患者舒适感,值得临床推广应用.
목적 탐토추나예방노년관부술후하지심정맥혈전형성적적효과.방법 회고성분석아원2010년6월지2011년12월수치적42례노년관부수술환자,분위대조조(20례)화관찰조(22례).대조조채용상규약물항응치료,관찰조채용상규약물항응치료적동시배합수법추나치료,비교량조환자술후종창급심정맥혈전형성정황.결과 술후4주내상규행환지채색초성다보륵검사.대조조환자술후제10천유1례출현환지명현종창,채색초성다보륵제시DVT,관찰조환자미발현DVT,차이구유통계학의의(P＜0.05).결론 수법추나능유조우예방환자심정맥혈전형성.이차조작간단,성본저,능증가환자서괄감,치득림상추엄응용.
Objective To explore the effect of massage manipulation on treatment to prevent the form of deep venous thrombosis (DVT) of the elder patients with hip operation.Methods 42 elder patients of hip operation admitted in our hospital from June 2010 to December 2011,were divided into control group (20 cases) and observation group (22 cases).The control group was given conventional drug anticoagulant therapy.While the observation group was added with massage manipulation based on the conventional treatment.The postoperative conditions of swelling and DVT forming were compared in two groups.Results Within 4 weeks,the color ultrasonic Doppler was conducted in lower limbs of patients.There was one case found with obvious swelling limb in the tenth day after operation in the control group,showing signs of DVT; but there was no DVT found in the observation group,showing statistical significant difference (P ＜ 0.05).Conclusion The massage manipulation can help prevent the form of DVT of the elder patients with hip operation,it has advantages of simple operation,low cost and more comfort for patients,which is worthy for promotion and application in clinic.