弹力袜结合体位管理和踝关节运动对下肢静脉曲张术后患者凝血功能、疼痛程度的影响
Effect of Elastic Socks Combined with Position Management and Ankle Joint Exercise on Coagulation Function and Pain Degree in Patients with Varicose Veins of Lower Extremity after Surgery
郭军1
作者信息
- 1. 兰陵县人民医院胸心血管外科,山东临沂 277700
- 折叠
摘要
目的 探讨弹力袜结合体位管理和踝关节运动在下肢静脉曲张(VVLE)术后患者中的应用效果.方法 选择兰陵县人民医院 2020年 4 月—2023 年 2 月收治的 82 例VVLE患者为研究对象,按随机数字表法将其分为对照组及观察组.两组均行手术治疗,术后,对照组(n=41)采用踝关节运动指导,观察组(n=41)在对照组基础上联合弹力袜结合体位管理,均持续随访 2 个月.对比两组患者的术后凝血功能、疼痛程度及并发症发生情况.结果 观察组护理后的活化部分凝血活酶时间、凝血酶原时间分别为(34.60±4.85)s、(14.30±2.42)s,均长于对照组的(30.36±4.11)s、(12.87±2.36)s,纤维蛋白原水平为(2.69±0.64)g/L,低于对照组的(3.76±0.71)g/L,组间差异有统计学意义(P﹤0.05).观察组护理后的疼痛视觉模拟评分为(1.51±0.36)分,低于对照组的(3.26±0.67)分,差异有统计学意义(P﹤0.05).观察组的并发症发生率为4.88%,低于对照组的 19.51%,差异有统计学意义(P﹤0.05).结论 弹力袜结合体位管理和踝关节运动能改善VVLE术后患者的凝血功能,减轻其疼痛程度,降低并发症发生率.
Abstract
Objective To investigate the effect of elastic socks combined with position management and ankle joint exercise in patients with varicose veins of lower extremity(VVLE)after surgery.Methods 82 VVLE patients admitted to Lanling County People's Hospital from April 2020 to February 2023 were selected as the study objects and divided into a control group and an observation group according to random number table method.Both groups received surgery.After surgery,the control group(n=41)received the guidance of ankle joint exercise,and the observation group(n=41)combined with the elastic socks and position management on the basis of the control group.Both groups were followed up for 2 months.The postoperative coagulation function,pain degree and complications were compared between the two groups.Results The activated partial thromboplastin time and prothrombin time of the observation group after nursing were(34.60±4.85)s and(14.30±2.42)s,respectively,which were longer than(30.36±4.11)s and(12.87±2.36)s of the control group,and the fibrinogen level was(2.69±0.64)g/L,which was lower than(3.76±0.71)g/L of the control group,and the differences between the groups were statistically significant(P﹤0.05).The pain Visual Analogue Scale score of the observation group was(1.51±0.36)points,which was lower than(3.26±0.67)points of the control group,and the difference was statistically significant(P﹤0.05).The incidence of complications in the observation group was 4.88%,lower than 19.51% in the control group,and the difference was statistically significant(P﹤0.05).Conclusion Elastic socks combined with position management and ankle joint exercise can improve the coagulation function,reduce the degree of pain and the incidence of complications in patients after VVLE.
关键词
下肢静脉曲张/弹力袜/体位管理/踝关节运动/凝血功能/疼痛程度Key words
Varicose veins of lower extremity/Elastic socks/Position management/Ankle joint exercise/Coagulation function/Pain degree引用本文复制引用
出版年
2024
NETL
NSTL
万方数据