空气波压力治疗仪预防膝关节置换术后下肢深静脉血栓形成疗效观察.docVIP

空气波压力治疗仪预防膝关节置换术后下肢深静脉血栓形成疗效观察 　　[摘要] 目的:观察使用空气波治疗仪对膝关节置换术后患者肢体肿胀、疼痛情况的影响,以及预防下肢深静脉血栓(DVT)形成的临床效果。方法:40例膝关节置换术后将患者随机分为治疗组、对照组各20例。治疗组在临床常规手术后第1天,双下肢应用POWER空气波治疗仪治疗;对照组在临床常规手术后应用低分子肝素钙药物治疗。比较两组治疗后双下肢静脉管壁光滑度、肢体肿胀、疼痛程度。结果:治疗1周后两组患者肢体肿胀、肢体疼痛情况比较,差异均有统计学意义( P0.01)。治疗组治疗1周后肢体重度肿胀、疼痛及DVT的发生率明显低于对照组( P0.01)。结论:空气波治疗仪能明显减少膝关节置换术后患者下肢DVT的发生率,对早期DVT的预防有明显的作用。 　　[关键词] 静脉血栓形成;空气波压力治疗仪;膝关节置换术 　　[中图分类号] R619+.2 [文献标识码]A [文章编号]1674-4721(2010)04(b)-020-02 　　 　　Efficacy of air wave pressure therapy after knee replacement instrument to prevent deep venous thrombosis 　　LI Xiangyi 　　(Orthopedics of the Second Hospital of Shanxi Medical University,Taiyuan 030001,China) 　　[Abstract] Objective: To evaluate the use of air-wave therapy in the treatment of lower limb swelling,pain and in the prevention of deep vein thrombosis(DVT) after prosthetic replacement of joint operation. Methods: After the surgery,40 patients were evenly divided into two groups in random.The POWER air-wave therapy machine was applied on both lower limbs of patients in treatment group from the first day after surgery,and those in the control group received low-molecular heparin calcium.Lower limb swelling,pain were compared between two groups after the treatment. Results: One week after the treatment,the occurrence of lower-limb swelling,pain and DVT were found less in patients receiving POWER air-wave therapy(P0.01). Conclusion: Air-wave therapy can significantly reduce the incidence of lower-limb DVT in patients after lumbar operation. 　　[Key words] Deep venous thrombosis;Physiot herapy;Prosthetic replacement of joint 　　 　　深静脉血栓(DVT),是指血液在深静脉内不正常地凝结, 常见于骨科大手术后。由于膝关节置换术中长时间的被动体位、术中止血带的使用、过度旋转和牵拉下肢及骨水泥聚合产热的热力损伤,使邻近血管受到间接损伤的概率大大增加,所以术后DVT发生率较高[1-2]。如不积极有效地进行预防,极易引起肺栓塞,甚至猝死。因此,预防DVT 的发生,对膝关节置换术后患者极其重要。2008年12月～2009 年12月,本科对20例膝关节置换术后患者采用空气波压力治疗仪预防双下肢DVT的发生,效果显著。现将结果报道如下: 　　1 资料与方法 　　1.1 一般资料 　　选择膝关节置换术后患者40例, 男7例,女33例,年龄55～76岁,平均64.6岁。左下肢19例,右下肢21例。入选条件为:膝关节置换由同一组医师施行,膝关节髌旁内侧入路, 后稳定型膝假体,骨水泥固定。全部因重度骨关节炎行膝关节