踝泵运动联合深呼吸对妇科肿瘤术后患者下肢静脉血栓形成的预防

摘要

Objective To explore the clinical efficacy of doing ankle pump exercises with deep breath for preventing the deep vein thrombosis after gynecological cancer surgery .Methods Totally 120 patients undergoing gynecological cancer surgery from January 2014 to April 2014 were randomly divid‐ed into control group and treatment group .Routine nursing care were given for the patients in the con‐trol group .Besides that ,patients in the treatment group were doing ankle pump exercise with deep breath .The incidence of deep vein thrombosis and the blood flow of both lower extremities at the third and seventh postoperative day were measured and compared .Results Vascular color ultrasound showed that DVT at the third postoperative day was found 1 case in the control group(1 7.% ) and 7 cases in the treatment group(11 7.% ) ,and another one case in the control group was found at the seventh postopera‐tive day .There were significant difference in the incidence of DVT between the control group and the treatment group( P <0 0.5) .The patients'average and peak blood flow velocity in the treatment group were faster than that in the control group( P < 0 .05) .Conclution Doing ankle pump exercises with deep breath can accelerate the blood flow of lower extremities ,and prevent the deep vein thrombosis af‐ter gynecological cancer surgery .%①目的探讨踝泵运动联合深呼吸疗法对预防妇科肿瘤术后患者下肢深静脉血栓形成（DVT）的效果。②方法选择2014年1月～2015年4月行妇科肿瘤手术的患者120例，随机分为对照组和观察组。对照组术后实施常规护理措施，观察组在对照组的干预措施的基础上，给予踝泵运动联合深呼吸疗法。术后比较两组患者DVT发生率、下肢静脉血流动力学指标。③结果术后第3天经彩色多普勒检查，观察组1例（17．％）发生DVT，对照组7例（117．％）发生DVT，两组比较，差异有统计学意义（P＜00．5）。第7天对照组新增了1例DVT。术后第3、7天，观察组下肢静脉平均流速和峰值流速明显大于对照组，差异有统计学意义（P＜00．5）。④结论踝泵运动联合深呼吸疗法能加速下肢血流速度，预防妇科肿瘤术后患者深静脉血栓形成。