空气压力波治疗仪在预防结直肠肿瘤患者术后下肢深静脉血栓形成中的作用

Effects of Physiotherapy in the prevention of lower extremity deep venous thrombosis in patients with colorectal tumors after operation

目的探讨空气压力波治疗仪在预防结直肠肿瘤患者术后下肢深静脉血栓形成中的作用。方法将2014年11月-2015年10月55例住院治疗的结直肠肿瘤患者设为对照组,术前后实施常规护理,术后鼓励患者尽早下床活动;将2015年11月-2016年11月55例住院住院治疗的结直肠肿瘤患者设为观察组,在对照组基础上,于术后24h采用空气压力波治疗仪进行治疗,每次治疗30min,2次/d,共治疗7d。比较术前和术后7d两组患者凝血功能、下肢深静脉血流速度及下肢深静脉血栓发生情况。结果术后7d,观察组患者纤维蛋白原和D-二聚体值低于对照组;下肢深静脉血流速度高于对照组;下肢深静脉血栓发生率低于对照组(P<0.01或P<0.05)。结论采用空气压力波治疗仪能提高结直肠术后患者下肢深静脉血流速度,从而降低下肢深静脉血栓的发生。

Objective To investigate the effects of Physiotherapy in the prevention of lower extremitydeep venous thrombosis in patients with colorectal tumors after operation. Methods About 55 cases of inpatients admitted to the hospital from November 2014 to November 2015 were selected as the control group, and they were given routine nursing before and after operation. Another 55 cases of inpatients admitted to the hospital from November 2015 to November 2016 were selected as the observation group. On the basis of the control group, the observation group were treated with Physiotherapy in 24h after operation, 30min for once, twice/d, lasting for 7 days. The coagulation function , lower extremity deep venous flow velocity and the incidence of deep venous thrombosis in two groups were compared before operation and 7 days after operation. Result About 7 days after operation, levels of fibrinogen and D-dimer in the observation group were lower than those in the control group （P〈0.01）, the lower extremity deep venous blood flow velocity was higher than that in the control group （P〈0.01）, and the incidence of lower limb deep venous thrombosis was lower than that in the control group （all P〈0.05）. Conclusion Physiotherapy can improve the coagulation function in patients undergoing colorectal operation, improve the lower extremity deep venous flow velocity and reduce the incidence of lower extremity deep venous thrombosis.