间歇气动压缩泵联合肠内营养支持治疗骨科术后下肢深静脉血栓的护理效果。

IF 1.6 4区 医学
Journal of Orthopaedic Surgery Pub Date : 2025-09-01 Epub Date: 2025-09-30 DOI:10.1177/10225536251383579
Yanxia Ni, Yingjing Wang, Qunying Qing
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引用次数: 0

摘要

目的探讨间歇气动压缩泵(IPC)联合肠内营养支持(ENS)预防骨科术后患者下肢深静脉血栓形成(DVT)的护理效果。方法将2021年1月至2022年1月期间行髋关节手术的患者235例作为常规组(RG,常规护理计划),将2022年2月至2023年2月期间行髋关节手术的患者268例作为关节组(JG, IPC联合ENS护理计划)。RG组仅接受常规护理,JG组接受IPC + ENS护理。整理受试者凝血指标、DVT发生率、术后恢复情况等指标。结果IPC加ENS护理后,JG血红蛋白(Hb)、血小板(PLT)明显低于RG (p < 0.05);与RG组相比,JG组双侧股总静脉(CFV)直径未减小,最大血流速度(BFV)和平均BFV明显高于RG组(p < 0.05)。JG组纤维蛋白原(FIB)、凝血酶原时间(PT)、活化部分凝血活素时间(APTT)明显升高,d -二聚体(D-D)和凝血酶时间(TT)明显降低;深静脉血栓发生率明显降低;患者卧床时间和住院时间明显缩短,护理满意度明显提高(p < 0.05)。结论ipc联合ENS在手术后患者护理中可有效降低DVT发生率,促进术后恢复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nursing effects of intermittent pneumatic compression pump combined with enteral nutrition support in lower extremity deep venous thrombosis after orthopedic surgery.

ObjectiveIt aimed to explore the nursing effect of intermittent pneumatic compression pump (IPC) plus enteral nutrition support (ENS) in the prevention of deep venous thrombosis (DVT) in lower limbs of patients after orthopedic surgery (OS).Methods235 patients who underwent hip joint surgery between January 2021 and January 2022 were enrolled as regular group (RG, routine care plan), and 268 patients who underwent hip joint surgery between February 2022 and February 2023 were enrolled as joint group (JG, IPC combined with ENS care plan). The RG only received routine nursing, and the JG received IPC plus ENS nursing. The subjects' coagulation indicators, DVT incidence, postoperative recovery, and other indicators were sorted out.ResultsAfter IPC plus ENS nursing, hemoglobin (Hb) and platelet (PLT) in the JG were visibly lower as against the RG (p < .05); As against the RG, the diameter of bilateral common femoral vein (CFV) did not decrease, and the maximum blood flow velocity (BFV) and average BFV of bilateral CFV were visibly higher in the JG (p < .05). In the JG, fibrinogen (FIB), prothrombin time (PT), activated partial thromboplastin time (APTT) were visibly increased, while D-dimer (D-D) and thrombin time (TT) were visibly decreased; the incidence of DVT was visibly lower; the immobile time in bed and hospital stay was visibly shortened, and the nursing satisfaction of patients was visibly increased (all p < .05).ConclusionIPC plus ENS in the nursing of patients after OS can effectively reduce the incidence of DVT and promote postoperative recovery.

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来源期刊
自引率
0.00%
发文量
91
期刊介绍: Journal of Orthopaedic Surgery is an open access peer-reviewed journal publishing original reviews and research articles on all aspects of orthopaedic surgery. It is the official journal of the Asia Pacific Orthopaedic Association. The journal welcomes and will publish materials of a diverse nature, from basic science research to clinical trials and surgical techniques. The journal encourages contributions from all parts of the world, but special emphasis is given to research of particular relevance to the Asia Pacific region.
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