四黄粉贴敷涌泉穴在髋膝关节置换术患者中的应用

Application of Sihuang Powder application on Yongquan Point in patients undergoing hip and knee replacement

目的探讨四黄粉贴敷涌泉穴在髋膝关节置换患者中的应用效果。方法采用便利抽样法, 选取2021年10月—2022年8月烟台市烟台山医院收治的172例髋膝关节置换术后患者作为研究对象, 采用随机数字表法将其分为对照组(n=85)和试验组(n=87)。对照组患者应用常规护理干预, 试验组患者在对照组基础上应用四黄粉贴敷涌泉穴, 比较两组患者干预前后纤维蛋白原含量及D-二聚体、住院期间下肢深静脉血栓(DVT)发生率及术后住院天数。结果术后第3天, 试验组患者纤维蛋白原含量、D-二聚体水平低于对照组, 差异有统计学意义(P<0.05);试验组住院期间DVT发生率为5.75%(5/87), 低于对照组的15.29%(13/85), 差异有统计学意义(P<0.05);试验组术后住院天数少于对照组, 差异有统计学意义(P<0.05)。结论四黄粉贴敷涌泉穴能有效改善血液高凝状态, 降低髋膝关节置换术后患者下肢DVT发生率, 减少术后并发症, 有效缩短住院时间。

Objective To explore the application effect of Sihuang Powder application on Yongquan Point in patients undergoing hip and knee replacement.Methods The convenient sampling method was used to select 172 patients after hip and knee replacement in Yantai Mountain Hospital from October 2021 to August 2022 as the research objects.They were divided into the control group(n=85)and the experimental group(n=87)by the random number table method.Patients in the control group were treated with routine nursing intervention,while patients in the experimental group were treated with Sihuang Powder application on Yongquan Point on the basis of control group.The fibrinogen content and D-dimer before and after intervention,the incidence of deep vein thrombosis(DVT)in lower limbs during hospitalization and the length of postoperative hospitalization were compared between the two groups.Results On the thrid day after operation,fibrinogen content and D-dimer level of the experimental group were lower than those of control group,and the differences were statistically significant(P<0.05).The incidence of DVT during hospitalization in the experimental group was 5.75%(5/87),lower than 15.29%(13/85)in the control group,and the difference was statistically significant(P<0.05).The postoperative hospitalization days in the experimental group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Conclusions Applying Sihuang Powder to Yongquan Acupoint can effectively improve blood hypercoagulability,reduce the incidence of lower limb DVT in patients after hip and knee replacement surgery,reduce postoperative complications and effectively shorten the length of hospital stay.