中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
9期
1067-1069
,共3页
静脉曲张%康复%减压运动%早期锻炼%腔内激光灼闭术
靜脈麯張%康複%減壓運動%早期鍛煉%腔內激光灼閉術
정맥곡장%강복%감압운동%조기단련%강내격광작폐술
Varicose veins%Rehabilitation%Decompression movement%Early exercise%Endovenous laser closure
目的：探讨大隐静脉腔内激光灼闭术后患者早期运用频率呼吸同步减压运动的效果。方法于2013年5—8月将78例下肢静脉曲张患者按住院日期分为对照组和观察组,各39例。对照组在术后给予常规护理,观察组在此基础,采取频率呼吸同步减压运动。观察两组患者术后6 h,24 h,3 d疼痛情况和术后3,5 d 恢复情况。结果术后6,24 h 观察组疼痛程度均低于对照组( t 值分别为-2.647,-2.786；P<0.05)；术后3 d,观察组患者的踝关节上5 cm、膝关节下10 cm肿胀程度均低于对照组,差异有统计学意义(t值分别为-2.508,-2.393；P<0.05)。术后3,5 d,观察组患者治疗总有效率为89.74%和97.44%,对照组分别为76.92%和82.04%,两组比较差异均有统计学意义( Z值分别为-3.574,-3.761；P<0.05)。结论腔内激光灼闭术早期运用频率呼吸同步减压运动,可发挥患者锻炼的主动性,减少患肢疼痛,减轻肿胀程度,促进患者术后恢复,提高手术效果。
目的：探討大隱靜脈腔內激光灼閉術後患者早期運用頻率呼吸同步減壓運動的效果。方法于2013年5—8月將78例下肢靜脈麯張患者按住院日期分為對照組和觀察組,各39例。對照組在術後給予常規護理,觀察組在此基礎,採取頻率呼吸同步減壓運動。觀察兩組患者術後6 h,24 h,3 d疼痛情況和術後3,5 d 恢複情況。結果術後6,24 h 觀察組疼痛程度均低于對照組( t 值分彆為-2.647,-2.786；P<0.05)；術後3 d,觀察組患者的踝關節上5 cm、膝關節下10 cm腫脹程度均低于對照組,差異有統計學意義(t值分彆為-2.508,-2.393；P<0.05)。術後3,5 d,觀察組患者治療總有效率為89.74%和97.44%,對照組分彆為76.92%和82.04%,兩組比較差異均有統計學意義( Z值分彆為-3.574,-3.761；P<0.05)。結論腔內激光灼閉術早期運用頻率呼吸同步減壓運動,可髮揮患者鍛煉的主動性,減少患肢疼痛,減輕腫脹程度,促進患者術後恢複,提高手術效果。
목적：탐토대은정맥강내격광작폐술후환자조기운용빈솔호흡동보감압운동적효과。방법우2013년5—8월장78례하지정맥곡장환자안주원일기분위대조조화관찰조,각39례。대조조재술후급여상규호리,관찰조재차기출,채취빈솔호흡동보감압운동。관찰량조환자술후6 h,24 h,3 d동통정황화술후3,5 d 회복정황。결과술후6,24 h 관찰조동통정도균저우대조조( t 치분별위-2.647,-2.786；P<0.05)；술후3 d,관찰조환자적과관절상5 cm、슬관절하10 cm종창정도균저우대조조,차이유통계학의의(t치분별위-2.508,-2.393；P<0.05)。술후3,5 d,관찰조환자치료총유효솔위89.74%화97.44%,대조조분별위76.92%화82.04%,량조비교차이균유통계학의의( Z치분별위-3.574,-3.761；P<0.05)。결론강내격광작폐술조기운용빈솔호흡동보감압운동,가발휘환자단련적주동성,감소환지동통,감경종창정도,촉진환자술후회복,제고수술효과。
Objective To explore application effect of frequency synchrony respiratory decompression movement ( FSRDM) among patients with endovenous laser closure( EVLT) operation. Methods A total of 78 patients with varix of lower limb were averagely divided into control group ( postoperative routine nursing) and experimental group ( routine nursing and FSRDM) by admitted date. We observed pain degree at 6 h, 24 h, 3 d after the operation and recovery at 3,5 d after the operation. Results The pain of experimental group was lower than that of control group at 6 h and 24 h after operation (t= -2. 647,-2. 786, respectively;P<0. 05), and 3 days after operation, the swelling of 5 cm above and 10 cm below ankle in the experimental group were under these of control group as well (t= -2. 508,-2. 393, respectively; P<0. 05). 3 and 5 days after operation, the effective treatment rate of experimental group were 89. 74% and 97. 44%, comparing with 76. 92% and 82. 04% in the control group (Z= -3. 574,-3. 761, respectively; P<0. 05). Conclusions At the early period after ELVT, FSRDM can promote patients initiative of exercise, recovery and effect of operation and minimize limb pain and swelling.
