足底静脉泵预防骨科下肢关节置换术后深静脉血栓的护理

Nursing of plantar venous pump in the prevention of deep venous thrombosis after lower limb arthroplasty in department of orthopedics

目的探讨足底静脉泵应用于骨科下肢关节置换术后预防深静脉血栓的意义。方法选取下肢关节置换术患者60例,随机平均分为2组,对照组只给予常规护理,观察组在常规护理的基础上加用足底静脉泵进行物理治疗,2组均在固定时间以彩色多普勒超声检查下肢静脉。结果观察组深静脉血栓发生率明显低于对照组(P<0.05)。结论将足底静脉泵运用于骨科下肢关节置换术后对预防深静脉血栓有帮助,且安全有效,值得在临床护理过程中推广应用。

Objective To explore the significance of plantar venous pump applied in the prevention of deep venous thrombus （DVT） after lower limb arthroplasty in department of orthopedics. Methods 60 patients with lower limb arthroplasty were selected and randomly divided into two groups, 30 cases in each group. The control group was conducted with conventional nursing, while the observation group was conducted with physiatrics of plantar venous pump on the basis of conven- tional nursing. Veins of lower limb in both of the two groups were examined by color Doppler ultraround in a fixation time. Results Incidence rate of DVT in the observation group was significantly lower than the control group（P 〈 0.05）. Conclusion Application of plantar venous pump in the prevention of DVT after lower limb arthroplasty in department of orthopedics is helpful, safe and ef- fective; therefore it is worthy of application and popularization in clinical nursing.