可挤压式四肢脉冲压力系统在胸腹腔镜食管癌术后护理应用

Application of Extrudable Limb Pulse Pressure System in Postoperative Nursing of Patients Undergoing Thoraco-Laparoscopic Surgery for Esophageal Cancer

目的 探究可挤压式四肢脉冲压力系统在胸腹腔镜食管癌术后护理中应用效果。方法 选取2019年1月至2023年3月宜春市人民医院胸外科收治的50例食管癌患者,按随机数字表法将其分为对照组(n=20)和观察组(n=30)。对照组采用常规护理,观察组在常规护理的基础上使用可挤压式四肢脉冲压力系统。比较2组患者DVT发生率以及纤溶指标(凝血酶原时间(PT)、活化部分凝血酶时间(aPTT)和D-二聚体水平)。结果 观察组比对照组的PT、APTT、D-二聚体浓度降低,DVT发生率下降,差异有统计学意义(P<0.05)。结论 可挤压式四肢脉冲压力系统能够降低食管癌患者血液PT、部分APTT、D-二聚体浓度,降低术后的深静脉血栓发生率,值得临床推广。

Objective To explore the efficacy of extrudable limb pulse pressure system in postoperative nursing of patients undergoing thoraco-laparoscopic surgery for esophageal cancer.Methods Fifty patients with esophageal cancer admitted to the Department of Thoracic Surgery of Yichun People's Hospital from January 2019 to March 2023 were randomly given routine nursing alone(control group,n=20) or in combination with extrudable limb pulse pressure system(observation group,n=30).The incidence of deep venous thrombosis(DVT),prothrombin time(PT),activated partial thrombin time(aPTT) and D-dimer level were compared between the two groups.Results Compared with the control group,the incidence of DVT,PT,aPTT and D-dimer concentration significantly decreased in the observation group(P<0.05).Conclusion The extrudable limb pulse pressure systemcan reduce PT,aPTT,D-dimer concentration and postoperative incidence of DVT in patients with esophageal cancer,and therefore is worthy of clinical promotion.