Effect of intraoperative IPC on patients with gynaecological laparoscopic surgery
10.3969/j.issn.1671-8283.2013.07.014
- VernacularTitle:术中间歇性气囊加压法在妇科腹腔镜患者中的应用*
- Author:
Runxia SU
;
Yuee LIANG
;
Yonghong WU
;
Jiayi PENG
- Publication Type:Journal Article
- Keywords:
gynaecology;
laparoscopic surgery;
intermittent pneumatic compression;
deep phlebothrombosis
- From:
Modern Clinical Nursing
2013;(7):46-48,49
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of intraoperative intermittent pneumatic compression(IPC)on patients undergoing gynaecological laparoscopic surgery.Methods Two hundred infertile patients to undergo exploratory laparotomy were randomized equally into the observation group and the control group.The patients in both groups were managed with laparoscopic operation at lithotomy position under general anaesthesia.During the operation,the control group was treated with nil intervention,while the observation group with IPC.The two groups were compared in terms of blood coagulation indexes before operation,days 1 and 3 after operation,blood flow rate of femoral vein before operation,30 mins and day 1 after the operation,and deep vein thrombosis(DVT) three months after operation.Results Three months after operation,12 cases of DVT occurred in the control group,and only 2 cases in the observation group.The difference was significant between the groups(χ2=6.22,P<0.05).The prothrombintime time and activated par-tialthrom boplastin time in the observation group were both longer than those of the control group,but the human fibrinogen was less(all P<0.05).The blood flow rate of femoral vein in the observation group was higher than that of the control group 30 mins and day 1 after operation(P<0.05),though the rates of femoral vein in the observation group showed insignificant differences between all the time points(F=1.94,P>0.05).Conclusion IPC used during laparoscopic surgery may be safe and effective as a result of improving blood circulation of lower limbs and preventing venothrombosis in lower limbs.
