Objective:To investigate and analyze the long-term clinical effects of acupoint application combined with pneumatic compression therapy in the prevention of deep venous thrombosis after hip fracture surgery among the ...Objective:To investigate and analyze the long-term clinical effects of acupoint application combined with pneumatic compression therapy in the prevention of deep venous thrombosis after hip fracture surgery among the elderly.Methods:Sixty elderly patients who had undergone hip fracture surgery from February 2021 to February 2022 were selected as the research subjects.The patients were divided into two groups via drawing lots.Both the groups received nursing care,but the patients in the observation group were treated with TCM acupoint application combined with pneumatic compression therapy,whereas the control group received pneumatic compression therapy.The evaluation indicators included the patients’quality of life and complications.Results:The incidence of lower extremity deep vein thrombosis in the observation group was more than twice(0.3%),whereas the incidence of lower extremity complications in the control group was more than 6 times(20%).There was a significant difference between the two groups(p<0.05).Conclusion:Traditional Chinese medicine acupoint application combined with pneumatic compression therapy is beneficial for the prevention of postoperative lower extremity deep vein thrombosis among elderly patients.In addition,the patients’overall quality-of-life scores in both physiological and psychological aspects improved significantly,which carries significant clinical reference value.展开更多
Purpose To analyze the sources of errors and discuss the techniques to eliminate pitfalls in detecting deep vein thrombosis (DVT) of the proximal lower extremities with color duplex ultrasonography (CDUS). Methods Six...Purpose To analyze the sources of errors and discuss the techniques to eliminate pitfalls in detecting deep vein thrombosis (DVT) of the proximal lower extremities with color duplex ultrasonography (CDUS). Methods Sixty-eight cases with initial and repeat venous CDUS of the proximal lower extremities were retrospectively reviewed. The repeat was done within 24 hours after initial CDUS scanning. Comparing repeated images to initial ones, the pitfalls and sources of error in CDUS of the proximal lower extremities were discussed. Results In total 68 repeat studies, there were 62 results as same as initials and 4 cases of false negative DVT and 2 cases of false positive DVT. Conclusion Venous CDUS in detecting DVT is observer dependent. Some pitfalls and errors can be eliminated and corrected with proper scan techniques. CDUS is the most valuable imaging modality for assessing suspected DVT in the proximal lower extremities.展开更多
目的探讨日间手术模式下射频消融(RFA)闭合术治疗下肢静脉曲张的临床疗效及安全性。方法收集2021年12月至2022年5月新疆维吾尔自治区人民医院收治的日间手术模式下治疗的101例大隐静脉曲张患者(112条肢体)的临床资料,按照手术方法的不...目的探讨日间手术模式下射频消融(RFA)闭合术治疗下肢静脉曲张的临床疗效及安全性。方法收集2021年12月至2022年5月新疆维吾尔自治区人民医院收治的日间手术模式下治疗的101例大隐静脉曲张患者(112条肢体)的临床资料,按照手术方法的不同将患者分为高位结扎组(n=50)和RFA组(n=51)。比较两组患者围手术期相关指标、围手术期并发症发生率及术后3个月大隐静脉主干闭塞率。结果RFA组患者的术前禁食、禁水时间,手术时间,术后禁食、禁水时间,术后下床时间均短于高位结扎组患者,术中出血量少于高位结扎组患者,术中VAS评分高于高位结扎组患者,术后6 h VAS评分低于高位结扎组患者,差异均有统计学意义(P<0.05)。术后3个月,RFA组患者的大隐静脉主干闭合率为98.2%(56/57),高位结扎组患者的大隐静脉主干闭合率为100%(55/55)。两组患者围手术期并发症的总发生率比较,差异无统计学意义(P>0.05)。结论RFA在日间手术模式下治疗下肢静脉曲张安全、有效,能够缩短术前禁食、禁水时间,手术时间,术后禁食、禁水时间,术后下床时间,减少术中出血量和术后疼痛程度,且不会增加围手术期相关并发症。展开更多
文摘Objective:To investigate and analyze the long-term clinical effects of acupoint application combined with pneumatic compression therapy in the prevention of deep venous thrombosis after hip fracture surgery among the elderly.Methods:Sixty elderly patients who had undergone hip fracture surgery from February 2021 to February 2022 were selected as the research subjects.The patients were divided into two groups via drawing lots.Both the groups received nursing care,but the patients in the observation group were treated with TCM acupoint application combined with pneumatic compression therapy,whereas the control group received pneumatic compression therapy.The evaluation indicators included the patients’quality of life and complications.Results:The incidence of lower extremity deep vein thrombosis in the observation group was more than twice(0.3%),whereas the incidence of lower extremity complications in the control group was more than 6 times(20%).There was a significant difference between the two groups(p<0.05).Conclusion:Traditional Chinese medicine acupoint application combined with pneumatic compression therapy is beneficial for the prevention of postoperative lower extremity deep vein thrombosis among elderly patients.In addition,the patients’overall quality-of-life scores in both physiological and psychological aspects improved significantly,which carries significant clinical reference value.
文摘Purpose To analyze the sources of errors and discuss the techniques to eliminate pitfalls in detecting deep vein thrombosis (DVT) of the proximal lower extremities with color duplex ultrasonography (CDUS). Methods Sixty-eight cases with initial and repeat venous CDUS of the proximal lower extremities were retrospectively reviewed. The repeat was done within 24 hours after initial CDUS scanning. Comparing repeated images to initial ones, the pitfalls and sources of error in CDUS of the proximal lower extremities were discussed. Results In total 68 repeat studies, there were 62 results as same as initials and 4 cases of false negative DVT and 2 cases of false positive DVT. Conclusion Venous CDUS in detecting DVT is observer dependent. Some pitfalls and errors can be eliminated and corrected with proper scan techniques. CDUS is the most valuable imaging modality for assessing suspected DVT in the proximal lower extremities.
文摘目的探讨日间手术模式下射频消融(RFA)闭合术治疗下肢静脉曲张的临床疗效及安全性。方法收集2021年12月至2022年5月新疆维吾尔自治区人民医院收治的日间手术模式下治疗的101例大隐静脉曲张患者(112条肢体)的临床资料,按照手术方法的不同将患者分为高位结扎组(n=50)和RFA组(n=51)。比较两组患者围手术期相关指标、围手术期并发症发生率及术后3个月大隐静脉主干闭塞率。结果RFA组患者的术前禁食、禁水时间,手术时间,术后禁食、禁水时间,术后下床时间均短于高位结扎组患者,术中出血量少于高位结扎组患者,术中VAS评分高于高位结扎组患者,术后6 h VAS评分低于高位结扎组患者,差异均有统计学意义(P<0.05)。术后3个月,RFA组患者的大隐静脉主干闭合率为98.2%(56/57),高位结扎组患者的大隐静脉主干闭合率为100%(55/55)。两组患者围手术期并发症的总发生率比较,差异无统计学意义(P>0.05)。结论RFA在日间手术模式下治疗下肢静脉曲张安全、有效,能够缩短术前禁食、禁水时间,手术时间,术后禁食、禁水时间,术后下床时间,减少术中出血量和术后疼痛程度,且不会增加围手术期相关并发症。
