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岭南现代临床外科 ›› 2013, Vol. 13 ›› Issue (02): 168-169.

• 外科护理 • 上一篇    下一篇

应用弹力袜预防神经外科患者术后深静脉血栓形成的意义

康丽玫,刘凌云   

  1. 江门市中心医院
  • 通讯作者: 康丽玫

Application of intraoperative began to stretch socks for preventing deep vein thrombosis of the significance of the patients after operation in the Department of Neurosurgery

  • Received:2013-01-17 Revised:2013-02-25 Online:2013-04-20 Published:2013-04-20

摘要:

【摘要】 目的 探讨弹力袜应用在预防神经外科患者术后深静脉血栓形成中的价值。方法 将180例住院拟行开颅手术患者随机分成3组:常规护理组(对照组)、术中应用组(A组)、术后应用组(B组)。对照组给以常规护理预防措施,A、B两组在常规护理基础上,分别在术中及术后加用医用弹力袜。通过双下肢彩色超声多普勒或静脉造影检查了解深静脉血栓发生情况。结果 A组术后深静脉血栓发生率均低于对照组(P<0.05);且A组术后深静脉血栓发生率均低于B组(P<0.05)。结论 医用弹力袜能有效地预防神经外科患者术后深静脉血栓的形成,术中即开始使用效果更好。

关键词: 医用弹力袜, 术中应用, 神经外科手术, 深静脉血栓

Abstract:

TO discusses on intraoperative began to use elastic stockings in the prevention of Department of neurosurgery for deep venous thrombosis in postoperative patients with application value. Methods One hundred and eighty cases of planned craniotomy operation were randomly divided into 3 groups: conventional nursing group ( control group), intraoperative application group ( group A), postoperative application of group (group B). The control group were given routine nursing and prevention measures; surgery operation in group began in routine nursing and prevention measures based on the use of medical elastic stockings; postoperative application of groups in postoperative began in the routine nursing and prevention measures based on the use of medical elastic stockings. To understand the occurrence of deep vein thrombosis of the lower limbs by color Doppler ultrasonography or venography.Deactivate the stretch socks after 1 weeks of double lower limbs with color Doppler ultrasound examination. Results In A group of postoperative deep venous thrombosis incidence was lower than that in the control group,the difference was statistically significant ( P<0.05 ); and group A postoperative deep venous thrombosis incidence were lower than those of B group, the difference was statistically significant ( P<0.05 ). Conclusion Intraoperative application of medical elastic stockings can more safely and effectively prevent the Department of neurosurgery in patients with postoperative deep venous thrombosis.

Key words: deep venous thrombosis