腰椎融合术围手术期预防下肢深静脉血栓的物理预防措施

摘要

目的：明确腰椎融合术围手术期采用物理措施预防下肢深静脉血栓的临床效果。方法：对于行腰椎融合术的114例患者，采取护理强化宣教告知其围手术期避免吸烟、饮酒，进行规律肌肉收缩锻炼，穿戴抗血栓压力带，下肢气压治疗等物理预防措施；同时，围手术期应保证充分的静脉补液。结果：所有114例患者均顺利接受手术，围手术期未发生下肢深静脉血栓形成。结论：围手术期规律地进行下肢肌肉收缩训练、穿戴抗血栓压力带、肢体气压治疗等措施能够有效地预防围手术期肢体深静脉血栓，抗凝药物可不必常规应用。%Objective:To clarify the clinical effect of physical prophylaxis during peri-operation following lumbar interbody fusion in order to prevent deep vein thrombosis.Method: From November 2012 to June 2013, a total of 114 patients underwent lumbar interbody fusion and subsequent physical prophylaxis measures, such as quitting smoking and drinking, performing muscle contraction exercise regularly, wearing antithrombotic pressure belt and performing intermittent pneumatic compression; meanwhile, adequate intravenous infusion should be guaranteed during peri-operation.Result: All 114 patients underwent lumbar interbody fusion successfully, meanwhile, no deep vein thrombosis of bilateral lower limbs was observed among them.Conclusion: Regular muscle contraction, application of antithrombotic belt and intermittent pneumatic compression are effective and safe measures to prevent peri-operative deep vein thrombosis, and anticoagulant drugs are not needed regularly.