医用弹力护套在腹腔镜胆囊切除术中应用的效果评价

Application of gradient elastic compression stockings in patients undergoing laparoscopic cholecystectomy

目的探讨使用医用梯度加压弹力护套预防腹腔镜胆囊切除术（LC）过程中下肢静脉血流淤滞的可行性和有效性。方法将收治的160例LC患者随机分成实验组75例和对照组85例，在对2组患者实施常规护理和治疗的同时，对实验组使用医用梯度加压弹力护套，分别在4个不同时期（T1、T2、T3、T4）测量2组的下肢静脉压，并对测量结果进行分析。结果实验组气腹建立和体位改变后静脉压明显低于对照组，差异显著。手术结束后，实验组静脉压较对照组恢复好，差异显著。结论医用梯度加压弹力护套可有效预防LC下肢静脉血液淤滞。是一种可行和有效的护理措施。

Objective To explore the feasibility and effectiveness of gradient elastic compression stock- ings in prevention of venous stasis in patients undergoing laparoscopic cholecystectomy （LC）. Methods 160 LC patients were randomized into the experimental group（75 cases）and the control group （85 cases）. Routine nursing care and treatment were performed in both groups, and gradient elastic compression stockings were used in the experimental group. Venous pressure was measured in four different periods （T1 ,T2,T3, T4）. Resets The venous pressure in T2,T3 and T4 in the experimental group was significantly lower than that in the control group. Conclusions Use of gradient elastic compression stockings is effective and feasible in preventing LC-induced venous stasis.