Application of SCD combined with early path functional training on preventing deep vein thrombosis after hip arthroplasty surgery
10.3760/cma.j.issn.1674-2907.2016.22.031
- VernacularTitle:SCD联合路径化早期功能锻炼在髋关节置换术后预防深静脉血栓中的应用
- Author:
Xiaoxu RONG
1
;
Ying YIN
;
Xiaoli LIANG
Author Information
1. 214000 江苏省无锡市第二人民医院骨科
- Keywords:
Hip arthroplasty;
SCD pressure system;
Deep vein thrombosis;
Path functional training
- From:
Chinese Journal of Modern Nursing
2016;22(22):3220-3223
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effective nursing method of preventing the deep vein thrombosis according to D-Dimer and lower limb vein B ultrasonic examination.Methods The study investigated 120
patients with femoral neck fracture who were operated hip replacement in Wuxi No.2 People′s Hospital during September 2013 to June 2015. The participants were randomly divided into four groups with 30 cases in each group: basic care group, early path functional training group, SCD group, and early path functional training combined with SCD group. D-Dimer and thrombosis detection rate according to the lower limb vein B ultrasonic examination were observed and compared among the four groups.Results D-Dimer of the four groups had little differences before and after 24 hours of the operation ( P>0.05) , but had differences after 7 days and 14 days of the operation (P<0.05). Moreover, the early path functional training combined with SCD group had lower D-Dimer compared to the basic care group ( P<0.05) . Besides, no thrombosis occurred before and after one day of the operation among the four groups, however, the thrombosis detection rates had significant differences after 7 days and 14 days of the operation (P<0.01). After 7 days of operation, the thrombosis detection rate for the early path functional training combined with SCD group was already lower than the others (P<0.01). After 14 days of operation, the basic care group had the highest thrombosis detection rate while the early path functional training combined with SCD group had the lowest thrombosis detection rate ( P<0. 01 ) . Conclusions The method of SCD combined with early path functional training can effectively prevent the deep vein thrombosis after hip arthroplasty surgery.
