风险评估联合踝泵运动在老年妇科肿瘤患者术后下肢深静脉血栓预防中的应用研究

Application of risk assessment combined with ankle pump exercise in prevention of postoperative deep venous thrombosis of lower limbs in elderly patients with gynecological tumors after surgery

中文关键词: 老年  妇科肿瘤  风险评估  踝泵运动  下肢深静脉血栓  凝血指标  临床症状

英文关键词: elderly  gynecological tumor  risk assessment  ankle pump exercise  lower extremity deep vein thrombosis  coagulation index  clinical signs and symptoms

中文摘要:

      目的 观察风险评估联合踝泵运动对老年妇科肿瘤患者术后下肢深静脉血栓的预防效果.方法 回顾性分析2019年5月-2023年12月在张家港市第一人民医院接受手术治疗的90例老年妇科肿瘤患者,按不同干预方式分为观察组(n=45)和对照组(n=45).2组患者均进行溶栓和抗凝治疗,对照组采用常规康复护理,观察组在与对照组相同处理的基础上加用风险评估联合踝泵运动,2组患者均持续干预6周.比较2组凝血指标、早期活动依从性、深静脉血栓及早期症状发生率的差异.结果 术后3 d,观察组和对照组D-D值相比同组术前1 d升高,PT、APTT值相比同组术前1 d降低,且观察组患者PT、APTT值均高于对照组,D-D值低于对照组,差异均有统计学意义(P＜0.05).干预后,观察组患者早期活动依从性高于对照组(P＜0.05);观察组患者深静脉血栓及早期症状发生率低于对照组(P＜0.05).结论 风险评估联合踝泵运动可有效改善老年妇科肿瘤患者术后凝血功能,提高早期活动依从性,降低下肢深静脉血栓的发生率.

英文摘要:

      Objective To observe the preventive effects of risk assessment combined with ankle pump exercises on post-operative lower extremity deep vein thrombosis(DVT)in elderly patients with gynecological tumors.Methods A retrospec-tive analysis was performed on 90 elderly patients with gynecological tumors who received surgical treatment in First People's Hospital of Zhangjiagang City from May 2019 to December 2023.They were divided into observation group(n=45)and con-trol group(n=45)according to different intervention methods.Both groups received thrombolytic therapy and anticoagulation therapy.The control group received routine rehabilitation nursing,while the observation group received risk assessment com-bined with ankle pump exercise on the basis of the control group.Both groups were continuously intervened for 6 weeks.The differences in coagulation indicators,compliance with early activities,incidence of deep vein thrombosis and early symptoms were compared between the two groups.Results 3 days after the operation,the D-D values of both groups were higher than those of the same group 1 day before the operation,and the PT and APTT values of both groups were lower than those of the same group 1 day before the operation.Moreover,the PT and APTT values of the observation group were higher than those of the control group,and the D-D value was lower than that of the control group(P＜0.05).After intervention,the compliance with early activities in the observation group was significantly higher than that in the control group(P＜0.05).The incidence of deep vein thrombosis and early symptoms in the observation group was significantly lower than that in the control group(P＜0.05).Conclusion Risk assessment combined with ankle pump exercise can effectively improve postoperative coagulation function,enhance compliance with early activities,and reduce the incidence of deep vein thrombosis in elderly gynecological cancer patients.