Clinical observation of intermittent pneumatic compression device combined with heat preservation in the prevention of deep venous thrombosis in lung cancer patients undergoing video-assisted thoracoscopic surgery
Objective To explore the clinical effects of intermittent pneumatic compression device combined with heat preservation on preventing deep venous thrombosis(DVT)in lung cancer patients undergoing video-assisted thoracoscopic surgery.Methods The clinical data of 464 lung cancer patients who underwent video-assisted thoracoscopic surgery from November 2019 to April 2021 were collected.According to different measures to prevent DVT,they were divided into control group and experimental group.Patients in the experimental group were managed by heat preservation combined with intermittent pneumatic compression device,while those in the control group were managed by routine measures.The body temperature before operation and 10min,20min and 30min after operation were compared.The levels of blood coagulation indexes 3 days before the operation and 1 day after the operation were compared.The incidence of DVT at 1 day postoperatively was compared between the two groups.Results There was no significant difference in the preoperative body temperature between the two groups.Body temperature at 10min,20min and 30min postoperatively in the experimental group was significantly higher than that of the control group(P＜0.05).At 1 day postoperatively,the activated partial thromboplastin time(APTT)and partial thromboplastin time(PT)of patients in the experimental group were significantly longer than those of the control group,and the levels of fibrinogen(FIB)and D-dimer(D-D)were significantly lower(P＜0.05).The incidence of DVT in the experimental group was significantly lower than that of the control group(P＜0.05).Conclusion Intermittent pneumatic compression device combined with heat preservation can effectively prevent DVT and maintain body temperature in lung cancer patients undergoing video-assisted thoracoscopic surgery.
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