中医护理对膝关节置换术后深静脉血栓形成的预防效果研究

目的:观察中医护理对膝关节置换术后深静脉血栓形成的预防效果。方法:选取92例接受膝关节置换手术的患者,按入院日期单双号分为对照组和观察组各46例。对照组术后给予常规护理,观察组在对照组基础上加用中医护理技术,包括穴位艾灸、中药外敷、穴位按摩及饮食调护,2组术后均干预15 d。对比2组干预前后患侧大腿、小腿周长,凝血酶原时间(PT),活化部分凝血活酶时间(APTT)及深静脉血栓发生率。结果:干预后,2组患侧大腿及小腿周长均较干预前缩小(P<0.05),观察组患侧大腿及小腿周长均比对照组缩小更明显(P<0.05)。干预后,2组PT及APTT均较干预前延长(P<0.05),观察组PT及APTT均长于对照组(P<0.05)。观察组深静脉血栓发生率为2.17%,低于对照组的17.39%,差异有统计学意义(P<0.05)。结论:中医护理干预膝关节置换术后患者,可以促进其术后康复,有效预防深静脉血栓形成。

Study on Preventive Effect of Chinese Medicine Nursing on Deep Vein Thrombosis After Knee Joint Replacement

Objective:To observe the preventive effect of Chinese medicine nursing on deep vein thrombosis after knee joint replacement. Methods:A total of 92 cases of patients undergoing knee joint replacement were selected and divided into the control group and the observation group according to the odd and even numbers of their admission date,46 cases in each group. After surgery, the control group was given routine nursing;based on the treatment of the control group, the observation group was additionally given Chinese medicine nursing techniques including point moxibustion, external application of Chinese medicine,point massage and dietary nursing. After surgery,both groups were treated for 15 days.Before and after intervention, the circumferences of affected thigh and calf, prothrombin time(PT), activated partial thromboplastin time(APTT) and incidences of deep vein thrombosis in the two groups were compared. Results: After intervention,the circumferences of affected thigh and calf in the two groups were reduced(P<0.05),and the reduction in the observation group was more significant than that in the control group(P<0.05). After intervention,PT and APTT in the two groups were prolonged(P<0.05);PT and APTT in the observation group were longer than those in the control group(P<0.05).The incidence of deep vein thrombosis was 2.17% in the observation group,lower than that of 17.39% in the control group,the difference being significant(P<0.05). Conclusion:The intervention of Chinese medicine nursing for patients after knee joint replacement can promote their postoperative rehabilitation and effectively prevent deep vein thrombosis.