中国医药
中國醫藥
중국의약
CHINA MEDICINE
2014年
3期
335-337
,共3页
雷淑琴%董跃华%魏玉磊%崔玉环
雷淑琴%董躍華%魏玉磊%崔玉環
뢰숙금%동약화%위옥뢰%최옥배
肺肿瘤%下肢深静脉血栓%间歇式充气压力治疗仪
肺腫瘤%下肢深靜脈血栓%間歇式充氣壓力治療儀
폐종류%하지심정맥혈전%간헐식충기압력치료의
Lung neoplasms%Deep venous thrombosis%Intermittent pneumatic pressure treatment device
目的 探讨间歇式充气压力治疗仪预防肺癌术后患者下肢深静脉血栓形成(DVT)形成的治疗效果.方法 选取河北北方学院附属第一医院心胸外科120例肺癌患者,完全随机分成对照组与试验组,各60例.对照组给予传统护理方法;试验组给予传统护理方法+间歇式充气压力治疗法.于术后第7天观察DVT特征性临床症状,术后4、7 d观察DVT发生率、血流动力学情况.结果 对照组有12例(20.0%)自诉肢体疼痛等不适,而试验组有3例(5.0%)自诉有肢体疼痛不适,2组DVT特征性临床症状比较差异有统计学意义(χ2=6.171,P<0.05);术后第4、7天,对照组DVT发生率分别为8.3%(5例)、11.7%(7例),试验组DVT发生率分别为为0%、1.7%(1例),对照组DVT发生率高于试验组(χ2=5.217,χ2=4.821,均P<0.05);术后第4、7天,试验组的股静脉血流速度(平均流速和峰值流速)明显好于对照组[术后第4天:(15.2±2.9)cm/s比(14.3±3.1)cm/s,(20.5±4.0)cm/s比(19.5±4.2)cm/s;术后第 7天:(16.1±3.2)cm/s比(14.6±3.1)cm/s,(21.5±5.9)cm/s比(19.5±5.3)cm/s](均P<0.01).结论 间歇式充气压力治疗仪在预防肺癌术后DVT,具有操作简便,使用安全、方便等优点.
目的 探討間歇式充氣壓力治療儀預防肺癌術後患者下肢深靜脈血栓形成(DVT)形成的治療效果.方法 選取河北北方學院附屬第一醫院心胸外科120例肺癌患者,完全隨機分成對照組與試驗組,各60例.對照組給予傳統護理方法;試驗組給予傳統護理方法+間歇式充氣壓力治療法.于術後第7天觀察DVT特徵性臨床癥狀,術後4、7 d觀察DVT髮生率、血流動力學情況.結果 對照組有12例(20.0%)自訴肢體疼痛等不適,而試驗組有3例(5.0%)自訴有肢體疼痛不適,2組DVT特徵性臨床癥狀比較差異有統計學意義(χ2=6.171,P<0.05);術後第4、7天,對照組DVT髮生率分彆為8.3%(5例)、11.7%(7例),試驗組DVT髮生率分彆為為0%、1.7%(1例),對照組DVT髮生率高于試驗組(χ2=5.217,χ2=4.821,均P<0.05);術後第4、7天,試驗組的股靜脈血流速度(平均流速和峰值流速)明顯好于對照組[術後第4天:(15.2±2.9)cm/s比(14.3±3.1)cm/s,(20.5±4.0)cm/s比(19.5±4.2)cm/s;術後第 7天:(16.1±3.2)cm/s比(14.6±3.1)cm/s,(21.5±5.9)cm/s比(19.5±5.3)cm/s](均P<0.01).結論 間歇式充氣壓力治療儀在預防肺癌術後DVT,具有操作簡便,使用安全、方便等優點.
목적 탐토간헐식충기압력치료의예방폐암술후환자하지심정맥혈전형성(DVT)형성적치료효과.방법 선취하북북방학원부속제일의원심흉외과120례폐암환자,완전수궤분성대조조여시험조,각60례.대조조급여전통호리방법;시험조급여전통호리방법+간헐식충기압력치요법.우술후제7천관찰DVT특정성림상증상,술후4、7 d관찰DVT발생솔、혈류동역학정황.결과 대조조유12례(20.0%)자소지체동통등불괄,이시험조유3례(5.0%)자소유지체동통불괄,2조DVT특정성림상증상비교차이유통계학의의(χ2=6.171,P<0.05);술후제4、7천,대조조DVT발생솔분별위8.3%(5례)、11.7%(7례),시험조DVT발생솔분별위위0%、1.7%(1례),대조조DVT발생솔고우시험조(χ2=5.217,χ2=4.821,균P<0.05);술후제4、7천,시험조적고정맥혈류속도(평균류속화봉치류속)명현호우대조조[술후제4천:(15.2±2.9)cm/s비(14.3±3.1)cm/s,(20.5±4.0)cm/s비(19.5±4.2)cm/s;술후제 7천:(16.1±3.2)cm/s비(14.6±3.1)cm/s,(21.5±5.9)cm/s비(19.5±5.3)cm/s](균P<0.01).결론 간헐식충기압력치료의재예방폐암술후DVT,구유조작간편,사용안전、방편등우점.
Objective To investigate the therapeutic effect of intermittent pneumatic pressure therapy on lung cancer with deep vein thrombosis (DVT) formation. Methods All 120 cases of lung cancer patients from cardiothoracic surgery in the first affiliated hospital of Hebei north university were randomly divided into the control group and the experimental group. The control group received traditional therapy; experimental group received traditional nursing combined with intermittent pneumatic pressure therapy. The incidence of DVT and hemodynamic situation in the fourth day and the seventh day after surgery were observed. Results The characteristic clinical symptoms of DVT in two groups was significantly different (P<0.05). On the fourth day and the seventh day after surgery, the incidences of DVT in the control group were 8.3%(5 cases) and 11.7%(7 cases). The incidence of DVT in the control group was significantly higher than that in the experimental group (P<0.05); on the fourth day and the seventh day after surgery, the femoral vein blood flow velocity (average velocity and peak velocity) in experimental group was significantly better than that in the control group[(15.2±2.9)cm/s vs (14.3±3.1)cm/s,(20.5±4.0)cm/s vs (19.5±4.2)cm/s;in the seventh day:(16.1±3.2)cm/s vs (14.6±3.1)cm/s,(21.5±5.9)cm/s vs (19.5±5.3)cm/s](all P<0.05). Conclusion Intermittent pneumatic pressure therapy can prevent incidence of postoperative DVT in lung cancer.
