“和伤散”熏洗联合刘氏“三指按摩”手法对预防髋部骨折术后下肢深静脉血栓的效果

Effect of"Heshang Power"fumigation and washing combined with Liu′s"three finger massage"technique in prevention of deep venous thrombosis of lower limbs after hip fracture operation

目的观察“和伤散”熏洗联合刘氏“三指按摩”手法护理预防髋部骨折患者术后下肢深静脉血栓的效果。方法选择符合纳入标准的116例髋部骨折患者为研究对象,采用随机数字表法将其分为对照组和观察组,对照组患者术后实施常规护理,观察组在对照组常规护理基础上予以“和伤散”熏洗联合刘氏“三指按摩”手法护理,2组患者均护理10 d。比较2组患者凝血指标以及下肢深静脉血栓发生率。结果观察组D-二聚体、纤维蛋白原均低于对照组,活化凝血活酶时间、凝血酶原时间均长于对照组,差异有统计学意义(P<0.05)。观察组下肢深静脉血栓发生率(1.72%)与对照组(13.79%)比较,差异有统计学意义(P<0.05)。结论对于髋部骨折术后患者,运用“和伤散”熏洗联合刘氏“三指按摩”手法护理能够降低下肢深静脉血栓发生率。

Objective To observe the effect of"Heshang Power"fumigation and washing combined with Liu′s"three finger massage"technique in prevention of deep venous thrombosis of lower limbs after hip fracture operation.Methods A total of 116 patients with hip fracture who met the inclusion criteria were selected as study subjects,and were randomly divided into control group and observation group.The patients in the control group were given routine nursing after operation,while those in the observation group were given"Heshang Power"fumigation and washing combined with Liu′s"three finger massage"technique on the basis of routine nursing in the control group.The patients in both groups were nursing for 10 days.Coagulation indexes and the incidence of deep venous thrombosis were compared between the two groups.Results The levels of D-dimer and fibrinogen in the observation group were lower than those in the control group,while the activated thromboplastin time and prothrombin time were longer than those in the control group(P<0.05).The incidence of lower extremity deep venous thrombosis in the observation group(1.72%)and the control group(13.79%)showed a significant difference(P<0.05).Conclusion For the postoperative hip fracture patients,"Heshang Power"fumigation and washing combined with Liu′s"three finger massage"technique can effectively reduce the occurrence of deep venous thrombosis.