CAJ | 학술논문

目的：探讨早期运动干预联合间歇充气加压泵对预防妇科手术患者下肢深静脉血栓形成（DVT ）的影响。方法选取妇科手术患者120例，按随机数字表法分为对照组和观察组，各60例。对照组给予常规护理。观察组在对照组的基础上给予早期运动干预联合间歇充气加压泵治疗。比较两组血流动力学指标，皮肤温度升高，下肢疼痛、肿胀及DV T发生率。结果术后观察组血流峰速度、血流平均速度及血流量显著高于对照组，两组比较有显著性差异（P＜0．05）。观察组皮肤温度升高、下肢疼痛、肿胀及DVT发生率显著低于对照组，两组比较有显著性差异（P＜0．05）。结论采用早期运动干预联合间歇充气加压泵可有效改善血流动力学，预防妇科术后DV T。
목적：탐토조기운동간예연합간헐충기가압빙대예방부과수술환자하지심정맥혈전형성（DVT ）적영향。방법선취부과수술환자120례，안수궤수자표법분위대조조화관찰조，각60례。대조조급여상규호리。관찰조재대조조적기출상급여조기운동간예연합간헐충기가압빙치료。비교량조혈류동역학지표，피부온도승고，하지동통、종창급DV T발생솔。결과술후관찰조혈류봉속도、혈류평균속도급혈류량현저고우대조조，량조비교유현저성차이（P＜0．05）。관찰조피부온도승고、하지동통、종창급DVT발생솔현저저우대조조，량조비교유현저성차이（P＜0．05）。결론채용조기운동간예연합간헐충기가압빙가유효개선혈류동역학，예방부과술후DV T。
Objective To evaluate the effect of early exercise intervention combined with intermitent pneumatic compres‐sion on lower deep venous thrombosis of patients with gynecological operation .Methods 120 patients with gynecological operation were randomly divided into control group(n=60)and observation group(n=60) .The early exercise intervention combine with intermitent pneumatic compression were used in observation group and routine nursing was used in control group .The haemodynamics ,skin temperature ,lower limb pain/swelling and lower deep vein thrombosis were compared be‐tween the two groups .Results The blood flow peak velocity ,the average blood flow velocity and blood flow of observation group were significantly higher than that of control group ,the two groups statistically significant difference (P<0 .05) .The incidence of skin warm ,lower limb pain/swelling and lower deep vein thrombosis in observation group were significantly lower than that of control group ,the two groups statistically significant difference (P<0 .05) .Conclusion Using early ex‐ercise intervention combined with intermitent pneumatic compression can effectively improve hemodynamics ,prevent gyneco‐logical postoperative lower deep vein thrombosis ,worth clinical promotion .