【摘要】 目的探讨妇科腹腔镜手术后预防患者下肢深静脉血栓(DVT)形成的研究。方法选取贵阳市妇幼保健院2018年6月到2019年6月76例妇科腹腔镜手术患者,根据干预方式不同进行分组,观察组采用预防干预法,对照组采用传统干预法,每组38例,比较两组妇科腹腔镜手术患者的血液流变学特征、手术用时、下床活动时间、进食时间、住院天数、血气分析值、患者满意率和DVT发生率。结果干预后,观察组的血液流变学数值均低于对照组;察组的手术用时、下床活动时间、进食时间和住院天数均低于对照组;观察组的血气指标改善优于对照组,差异有统计学意义(P<0.05)。干预后,观察组的患者满意率97.37%(37/38)高于对照组78.95%(30/38);观察组的下肢DVT发生率5.26%(2/38)低于对照组23.68%(9/38),差异有统计学意义(P<0.05)。结论预防干预法可降低妇科腹腔镜手术后患者下肢DVT发生率,值得推广使用。更多还原

【Abstract】 Objective To investigate the prevention of deep venous thrombosis(DVT) in lower extremities after gynecological laparoscopic surgery. Method 76 cases of gynaecological laparoscopic surgery patients in Guiyang Maternal and Child Health Hospital from June 2018 to June 2019 were divided into two groups according to different intervention methods. The observation group was treated with preventive intervention method, while the control group was treated with traditional intervention method, 38 cases in each group. The hemorheological characteristics, operation time and out-of-bed life of the two groups of gynecological laparoscopic surgery patients were compared. Motion time, eating time, hospitalization days, blood gas analysis value, patient satisfaction rate and DVT incidence rate. Result After intervention, the hemorheological values of the observation group were lower than those of the control group; the operation time, the time of getting out of bed, the time of eating and the days of hospitalization of the observation group were lower than those of the control group; the improvement of blood gas indexes of the observation group was better than that of the control group, and the difference was statistically significant(P<0.05). After intervention, the satisfaction rate of patients in the observation group was 97.37%(37/38) higher than 78.95%(30/38) in the control group, and the DVT incidence of lower limbs in the observation group was 5.26%(2/38) lower than 23.68%(9/38) in the control group, with statistical significance(P<0.05). Conclusion Preventive intervention can reduce the incidence of DVT in lower limbs of patients after gynecological laparoscopic surgery, and it is worth popularizing.更多还原