间歇式充气压力治疗仪联合无缝隙护理对肺癌根治术后患者血流动力学、深静脉血栓形成发生率的影响

Effects of Intermittent Inflatable Pressure Therapy Combined with Seamless Nursing on Hemodynamics and DVT Incidence in Patients after Radical Lung Cancer Resection

目的分析间歇式充气压力治疗仪配合无缝隙护理对肺癌根治术后患者血流动力学、深静脉血栓形成(DVT)发生率的影响.方法选择2022年3月—2023年3月我院收治的76例肺癌根治术患者为研究对象,通过随机数字表法将其分为观察组(n=38)和对照组(n=38).对照组予以无缝隙护理,观察组在此基础上加入间歇式充气压力治疗仪治疗,两组均持续干预7d.观察比较两组患者血流动力学指标、术后相关指标、DVT发生率.结果干预后,观察组股静脉血流量多于对照组,股静脉血流峰值高于对照组,股静脉平均血流速度快于对照组,组间差异有统计学意义(P<0.05).两组术后首次下床时间、住院时间比较,组间差异无统计学意义(P>0.05).观察组DVT发生率2.63%低于对照组的23.68%,差异有统计学意义(P<0.05).结论间歇式充气压力治疗仪配合无缝隙护理能有效改善肺癌根治术后患者的血流动力学指标,预防DVT形成,值得推广.

Objective To investigate the effect of intermittent inflatable pressure therapy combined with seamless nursing on the incidence of hemodynamics and deep vein thrombosis(DVT)in patients after radical lung cancer resection.Methods 76 patients undergoing radical lung cancer resection admitted to our hospital from March 2022 to March 2023 were selected and divided into observation group(n=38)and control group(n=38)by random number table method.The control group was given gapless care,and the observation group was added to the intermittent inflatable pressure therapy device,and both groups continued to intervene for 7 days.The hemodynamic indexes,postoperative related indicators,and DVT incidence of the two groups were observed and compared.Results After intervention,the femoral vein blood flow in the observation group was higher than that in the control group,the peak value of femoral vein blood flow was higher than that in the control group,and the average femoral vein blood flow velocity was faster than that in the control group,the differences between groups were statistically significant(P<0.05).There was no statistically significant difference in the first postoperative time of getting out of bed and hospitalization between the two groups(P>0.05).The incidence of DVT in the observation group 2.63%was lower than 23.68%in the control group,and the difference was statistically significant(P<0.05).Conclusion Intermittent inflatable pressure therapy device combined with seamless nursing can effectively improve hemodynamics indexes,prevent DVT formation in patients after radical lung cancer resection,which is worth promoting.