首页|低分子肝素钙联合气压治疗预防妇科肿瘤术后下肢静脉血栓发生的价值评估分析

低分子肝素钙联合气压治疗预防妇科肿瘤术后下肢静脉血栓发生的价值评估分析

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目的 探讨妇科肿瘤术后,通过低分子肝素钙联合气压治疗方案对预防下肢静脉血栓的重要价值.方法 随机选取2023年1月—2024年1月三明市第二医院收治的80例妇科肿瘤患者为研究对象,根据不同的治疗方法分为对照组和研究组,每组40例.对照组以低分子肝素钙进行干预,研究组在对照组基础上联合应用气压治疗.对比两组的下肢静脉血流速度与周径、凝血功能、下肢静脉血栓发生率.结果 干预前,两组患者的下肢静脉血流速度与周径对比,差异无统计学意义(P均>0.05);干预后,两组患者的下肢静脉血流速度与周径均优于干预前,且研究组优于对照组,差异有统计学意义(P均<0.05).干预前,两组患者的凝血功能对比,差异无统计学意义(P>0.05).干预后,两组患者的活化部凝血活酶时间长于干预前,且研究组长于对照组;两组患者的D-二聚体、纤维蛋白原水平均低于干预前,研究组低于对照组;两组患者的凝血酶原时间长于干预前,且研究组长于对照组,差异有统计学意义(P均<0.05).研究组下肢静脉血栓发生率为2.50%(39/40),低于对照组的22.50%(31/40),差异有统计学意义(χ2=7.314,P<0.05).结论 妇科肿瘤术后治疗中,采取低分子肝素钙、气压联合治疗方案的形式,有助于降低其发生下肢静脉血栓的风险.同时,此种治疗形式可加快下肢静脉血液流动速度,促进凝血功能的改善.
Evaluation and Analysis of the Value of Low Molecular Weight Heparin Calcium Combined with Pneumatic Therapy in Preventing Lower Limb Venous Thrombosis after Gynecological Tumor Surgery
Objective To investigate the important value of low molecular weight heparin calcium combined with air pressure therapy in the prevention of lower extremity venous thrombosis after gynecological tumor surgery.Methods A total of 80 patients with gynecological tumors admitted to Sanming Second Hospital from January 2023 to January 2024 were randomly selected as the research objects.According to different treatment methods,they were divided into control group and study group,with 40 cases in each group.The control group was intervened with low molecular weight heparin calcium,and the study group was treated with air pressure therapy on the basis of the control group.The lower extremity venous blood flow velocity and circumference,coagulation function,and incidence of lower ex-tremity venous thrombosis were compared between the two groups.Results Before intervention,there was no signifi-cant difference in lower extremity venous blood flow velocity and circumference between the two groups(both P>0.05);after intervention,the lower extremity venous blood flow velocity and circumference of the two groups were better than those before intervention,and the study group was better than the control group,the differences were statistically sig-nificant(all P<0.05).Before intervention,there was no significant difference in coagulation function between the two groups(P>0.05).After the intervention,the activated partial thromboplastin time of the two groups was longer than that before the intervention,and the study group was longer than the control group;the D-dimer and fibrinogen levels of the two groups were lower than those before the intervention,and the study group was lower than the control group;the prothrombin time of the two groups was longer than that before the intervention,and the study group was longer than the control group,the differences were statistically significant(all P<0.05).The incidence of lower extremity ve-nous thrombosis in the study group was 2.50%(39/40),which was lower than that in the control group 22.50%(31/40),and the difference was statistically significant(χ2=7.314,P<0.05).Conclusion In the postoperative treatment of gyne-cological tumors,the combination of low molecular weight heparin calcium and air pressure is helpful to reduce the risk of lower extremity venous thrombosis.At the same time,this form of treatment can accelerate the blood flow veloc-ity of lower extremity veins and promote the improvement of coagulation function.

Gynecological tumorsLow molecular weight heparin calciumBarometric therapyLower limb venous thrombosis

赖文波、李烨、于楠楠

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三明市第二医院妇科,福建 三明 366000

妇科肿瘤 低分子肝素钙 气压治疗 下肢静脉血栓

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(31)