中医护理方案对膝关节置换术后下肢深静脉血栓的影响研究.pdfVIP

一 62一 按《摩与康复医学~2017年第8卷第 14期 ChineseManipulation＆RehabilitationMedicine，2017，Vo1．8No．14 中医护理方案对膝关节置换术后下肢深静脉 血栓的影响研究 翁晓枫 (广东省中医院，广东广州 510120) [摘 要] 目的：探讨按摩、艾灸等中医护理方案预防膝关节置换术后患者下肢静脉血栓形成的效果。方法：将300例单侧膝 关节置换术后患者随机分为试验组、对照组、空 白对照组各100例 ，对照组采用常规护理措施，试验组则在常规护理基础上进 行中医护理(饮食调护，委中、三阴交、内膝眼、地机穴按摩、艾灸)，空 白对照组则在试验组选穴外或上约1寸的非穴位处进行 相同的中医护理措施。观察三组患者术后下肢深静脉血栓的发生情况。结果：试验组下肢深静脉血栓发生率显著低于对照组、 空 白对照组(尸0．O5)。结论：中医护理方案可有效降低膝关节置换术后患者下肢深静脉血栓的形成，值得临床推广运用。 [关键词]膝关节置换术：下肢深静脉血栓；中医护理；术后护理 [中图分类号]R473．6 [文献标识码]B [文章编号]1008—1879(2017)14-0062—03 TheInfluenceofTCM NursingOnLowerExtremityDeepVenousThrombosisalterTotalKneeArthroplasyt WENGXiao ng(GuangdongProvincialTCMHospitalGuangzhou,Guangdong51012 Abstract Objective：ToinvestigatethepreventioneffectofTCMnursingprogramsuchasmassageandmoxibustiononlowerextremitydeepve- noushtrombosisaftertotalkneearthroplasyt．Mehtods：300casesofpostoperativepatientswhoreceivedunilateraltotalkneearthroplastyweretall· domlydividedintoexperimentalgroup(100cases)，controlgroup(100cases)andblankcontrolgroup(100cases)，thecontrolgroupacceptedroutine nursingmeasures，whileexperimentalgroupreceivedTCMnursing(dietcare，massageandmoxibustiononWeizhong，Sanyin}iao，internalXiyan，Di- ji)onthebasisofroutinenursing，andblankcontrolgroupreceivedthesameTCMnursingasexperimentalgroupexceptthepositionsformassage nadmoxibustionwerenon—acupointswhichbesideorabovetheacupointsofr1inch，thenobservedhteoccurrenceoflowerexrtemiyt deepvenous thrombosisofhtethreegroups．Results：Theoccurrenceoflowerextremitydeepvenousthrombosisofexperimentalgroupwassignificantlylower htanthatofcontrolrgoupandblank conrtolgroupfP0．05)．Conclusion：TCM nursingprorgamcaneffectivelyreducetheoccurrenceoflowerex— tremiyt deepvenousthrombosisaftertoatlkneearthroplasyt，anddeservesclinicalpromotionandapplication． Keywords totalkneearthroplasty；lowerextremiyt deepvenousthrombosis；TCM nurs