规范化肌泵锻炼在预防下肢静脉曲张术后深静脉血栓形成中的作用探讨.docVIP

规范化肌泵锻炼在预防下肢静脉曲张术后深静脉血栓形成中的作用探讨 岳小涵1，裴元民1，李帅1，尹华山2，郭希伟2 （1潍坊医学院 2潍坊市益都中心医院） 通讯作者：裴元民，潍坊益都中心医院血管外科主任，副主任医师，硕士生导师_1014@。 【摘要】目的：探讨规范化肌泵锻炼对预防下肢静脉曲张术后深静脉血栓形成中的实际作用，为临床实践中预防静脉曲张术后下肢深静脉血栓形成提供依据。方法：收集2015年1月-2016年1月入院行下肢静脉曲张手术的患者(168例)进行筛选、分组，并在术后对患者进行规范化肌泵锻炼指导，对术后下肢深静脉血栓形成发生率进行检测与统计，对其进行两独立样本χ2检验的统计学分析，收集分析数据。结果：试验组（n=82）发生下肢深静脉血栓（DVT）1例，发生率为1.22%；对照组（n=86）发生DVT8例，发生率为9.30%，统计数据存在统计学差异。结论：规范化肌泵锻炼在下肢浅表静脉曲张术后预防深静脉血栓形成中有一定的临床价值，值得我们实践并进行推广。关键词???规范化肌泵锻炼??下肢静脉曲张???下肢深静脉血栓形成 Effect of quantified muscle pumps movement on prevention of deep vein thrombosis in varicose veins postoperative patients YUE Xiaohan1, PEI Yuanmin1, LI Shuai1, YIN Huashan2,GUO Xiwei2 （1. Weiang Medical University ,WeiFang 261053,China; 2. YiDu Central Hospital Of WeiFang ,WeiFang 261053,China） 【Abstract】 ObjectiveTo investigate the clinical effects of quantified muscle pumps movement on prevention of deep vein thrombosis in varicose veins postoperative patients. Methods Collected in January 2015 - January admission line in 2016 patients with varicose veins of lower limb surgery (168 cases), filtering, grouping, and standardized muscle pump exercise guidance to patients after surgery, the incidence of postoperative lower limb deep vein thrombosis test and statistics, chi-square test on the two independent sample statistical analysis, collect and analyze data. ResultsThe experimental group (n = 82) lower extremity deep vein thrombosis (DVT) in 1 case, the incidence is 1.22%; DVT8 occurred in control group (n = 86), the incidence is 9.30%, statistics statistical differences. ConclusionThe quantified muscle pumps movement in the lower extremity superficial varicose veins in the prevention of postoperative deep venous thrombosis has certain clinical value, worthy of our practice and popularization. Keywords Quantified muscle pumps movement; Lower extremity varicose veins; Deep vein thrombosis of lower limbs 下肢深静脉血栓形成是下肢静脉曲张术后最严重的并发症，尤其见于老年患者，手术本身、麻醉方式、患者的自身因素（如高龄、肥胖、高血压、高脂血症）[1]等都是深静脉血栓的诱发因素。下肢深静脉血栓形