Effects of intraoperative physical prevention on postoperative deep vein thrombosis in gynecological tumor patients
10.3760/cma.j.cn115682-20210705-02938
- VernacularTitle:术中不同物理干预预防对妇科肿瘤患者术后下肢深静脉血栓发生的影响
- Author:
Juanjuan ZHAI
1
;
Jinghua DAI
;
Chunmei WU
;
Wenhui GAO
Author Information
1. 山西省人民医院麻醉手术科，太原 030000
- Keywords:
Venous thrombosis;
Gynecologic tumor;
Physical prevention;
Graduated compression stocking;
Plantar arteriovenous pump
- From:
Chinese Journal of Modern Nursing
2022;28(11):1499-1503
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of intraoperative physical prevention on the occurrence of lower extremity deep vein thrombosis (DVT) in patients with gynecological tumors after operation.Methods:From January to December 2020, convenience sampling was used to select 79 gynecological tumor patients with operations in Shanxi Provincial People's Hospital as the research object. According to the random number table method, the patients were divided into the observation group ( n=40) and the control group ( n=39) . The patients in the control group received graduated compression stocking (GCS) during the operation, and the patients in the observation group were treated with the GCS combined with the plantar arteriovenous pump. The blood coagulation indexes [D-dimer, prothrombin time (PT) , activated partial thromboplastin time (APTT) ], lower extremity (common femoral vein, deep femoral vein) venous diameter and blood flow rate before operation, immediately after operation, and on the third day after operation, and the incidence of DVT on the first day, third day, 1 month and 3 months after the operation were compared between the two groups. Results:Repeated measures analysis of variance showed that there were interaction, between-group and time effects in the comparison of D-dimer, PT, and APTT before operation, immediately after operation, and on the third day after operation between the two groups. There were interactions, between-group, and time effects in the comparison of the diameter of the common femoral vein, the diameter of the deep femoral vein, and the venous blood flow rate. The differences were all statistically significant ( P<0.05) . On the first day, third day, 1 month and 3 months after operation, the incidences of DVT in the observation group were lower than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Intraoperative GCS combined with plantar arteriovenous pump can improve postoperative coagulation function in patients with gynecological tumors, accelerate venous blood flow rate of lower extremities, and reduce the incidence of DVT in patients.
