中医护理预防老年股骨颈骨折术后下肢深静脉血栓形成临床研究
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R248.2

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Clinical Study on Chinese Medicine Nursing Preventing Deep Venous Thrombosis of Lower Limbs of Senile Patients After Surgery of Femoral Neck Fracture
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    摘要:

    目的:观察中医护理预防老年股骨颈骨折术后患者下肢深静脉血栓形成的临床效果。方法:选取103 例老年股骨颈骨折患者,按随机数字表法分为对照组51 例和观察组52 例。对照组给予常规护理,观察组在对照组基础上给予中医护理。比较2 组护理前后血清氧化应激值、凝血指标、股静脉血液流速、疼痛评分、全血黏度以及下肢肿胀程度和血栓发生情况。结果:护理前,2 组患肢股静脉平均血液流速、视觉模拟评分(VAS) 以及全血黏度比较,差异无统计学意义(P>0.05)。护理后,2 组患肢股静脉平均血液流速较护理前升高,观察组高于对照组(P<0.05);2 组VAS 评分及全血黏度较护理前降低,观察组低于对照组(P<0.05)。护理前,2 组超氧化物歧化酶(SOD)、丙二醛(MDA)、凝血酶时间(TT) 及活化部分凝血活酶时间(APTT)水平比较,差异无统计学意义(P>0.05)。护理后,2 组SOD、TT 及APTT 水平较治疗前升高,且观察组SOD、TT 及APTT 水平均高于对照组(P<0.05);2 组MDA 水平较治疗前降低,且观察组MDA 水平低于对照组(P<0.05)。观察组护理后下肢肿胀程度和血栓发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:中医护理可以有效改善老年股骨颈骨折患者术后应激反应和凝血指标,提高股静脉平均血液流速,缓解患肢疼痛和肿胀程度,降低血液黏度和血栓发生率。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Chinese medicine nursing on prevention of deep venous thrombosis of the lower limbs of senile patients after surgery of femoral neck fracture. Methods:A total of 103 cases of senile patients with femoral neck fracture were selected and divided into the control group and the observation group according to the random number table method,51 and 52 cases in each group respectively. The control group was given routine nursing, and the observation group was additionally given Chinese medicine nursing based on the treatment of the control group. Value of oxidative stress in serum, indexes of blood coagulation, blood flow velocity of femoral vein, pain score, whole blood viscosity,as well as swelling degree of the lower limbs and incidence of thrombus before and after nursing were compared in the two groups. Results: Before nursing, when compared mean blood flow velocity of femoral vein in affected limbs, scores of Visual Analogue Scale(VAS),and whole blood viscosity between the two groups,there was no significance being found in the difference(P>0.05). After nursing,mean blood flow velocity of femoral vein in affected limbs in the two groups was increased when compared with that before nursing,and the mean velocity in the observation group was higher than that in the control group(P<0.05);VAS scores and whole blood viscosity in the two groups were decreased when compared with those before nursing, and the two indexes in the observation group were lower than those in the control group(P<0.05). After nursing,swelling degree of the lower limbs and incidence of thrombus in the observation group were significantly lower than those in the control group, the difference being significant(P<0.05). Before nursing, when compared levels of superoxide dismutase(SOD) and malondialdehyde(MDA),thrombin time(TT) and activated partial thromboplastin time(APTT) between the two groups,there was no significance being found in the difference(P>0.05). After nursing,levels of SOD in the two groups were increased when compared with those before nursing,and TT and APTT were prolonged;level of SOD in the observation group was higher than that in the control group,and TT and APTT were longer than those in the control group(P<0.05). After nursing,levels of MDA in the two groups were decreased when compared with those before nursing, and the level in the observation group was lower than that in the control group(P<0.05). Conclusion:For senile patients with femoral neck fracture,Chinese medicine nursing can effectively improve stress response and indexes of blood coagulation after surgery, increase mean blood flow velocity of femoral vein, relieve pain in affected limbs and swelling degree, and reduce blood viscosity and incidence of thrombus.

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潘竹娜.中医护理预防老年股骨颈骨折术后下肢深静脉血栓形成临床研究[J].新中医,2021,53(10):146-149

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  • 在线发布日期: 2021-05-24
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