两种膝关节镜手术体位对发生下肢深静脉血栓的影响 .pdf

两种膝关节镜手术体位对发生下膨呆静脉血栓的影响

【摘要】目的：探讨两种膝关节镜手术体位对发生下肢深静脉血栓(DVT)的影响方法：选择2023年4月—2023

年6月入住本院行膝关节镜手术的90例患者为研究对象，按随机数字表法将其分为两组，即观察组1(45例)和观察

组2(45例)观察组1为患肢垂直位，手术体位为患侧大腿上1/2,使用大腿环抱器固定，小腿自然下垂，健侧下肢

采用单腿截石位；观察组2为患肢平卧位，双侧下肢均平放于手术床比较两组术前、术后3d和7d时下肢股静脉的血

流速度和血流量，并观察两组患者DVT发生率结果：术后3d和7d,观察组2患者下肢股静脉血流速度和血流量高

于观察组1(Pv0.05)；观察组2DVT发生率低于观察组1(Pv0.05)结论：两种膝关节镜手术体位均能有效治疗患

者，但患肢采取平卧位能有效改善患者血液流动和血液循环，减少DVT的发生风险

【关键词】膝关节镜手术；垂直位；平卧位；下肢深静脉血栓

基金项目：深圳市龙岗区医疗卫生科技计划项目《两种膝关节镜手术体位对发生下肢深静脉血栓的影响》

(LGWJ2021-(23))

Theimactoftwodifferentkneearthroscoicsurgicalositionsontheoccurrenceofdeeveinthrombosisin

thelowerlimbs

CHENZhenkun,WANLu,LEIHaimei

LonggangCentralHositalofShenzhen,Shenzhen,Guangdong518116,China

[Abstract]Objective：Toinvestigatetheeffectoftwodifferentkneearthroscoicsurgicalositionsonthe

occurrenceofdeeveinthrombosis(DVT)inthelowerlimbs.Methods：Ninetyatientswhounderwentknee

arthroscoysurgeryinourhositalfromAril2023toJune2023wereselectedasthestudysubjects.Theywere

randomlydividedintotwogroususingarandomnumbertablemethod,namelytheobservationgrou1(45cases)

andtheobservationgrou2(45cases).Theobservationgrou1wasintheverticalositionoftheaffectedlimb,

andthesurgicalositionwasontheuerhalfoftheaffectedthigh,fixedwithathighembracingdevice,withthelower

legnaturallyhangingdown,andthehealthylowerlimbwasinthesingleleglithotomyosition；Theobservationgrou

2wasinthesuineositionoftheaffectedlimb,withbothlowerlimbslyingflatontheoeratingtable.Comaringthe

bloodflowvelocityandvolumeofthelowerlimbfemoralveinbetweenthetwogrousbeforesurgery,3daysand

7daysaftersurgery,andobservingtheincidenceofDVTinthetwogrousofatie