Abstract:Objective To explore the prevention effect of “ankle pump exercise training instrument” designed by our hospital on the prevention of thrombosis in patients with hip fracture.Methods 79 cases of hip fracture patients who were first hospitalized in our department from January 2018 to October 2019 were selected and randomly divided into a control group (41 cases) and a test group (38 cases) according to the random number table method.The control group was given traditional oral education to guide ankle pump exercise to prevent thrombus,and the test group was given ankle pump exercise to prevent thrombus by the ankle pump exercise training instrument designed by our hospital.The duration and angle of ankle pump exercise were compared between the two groups.Color ultrasound was used to examine the incidence of venous thrombosis in the lower extremity of the patients,and the incidence of thrombosis was compared between the two groups.Results 12 cases in the control group and 36 cases in the test group had the time of ankle pump exercise ≥5 min.18 cases with maximum angle of ankle pump exercise and 31 cases in the test group.The test group was better than the control group (P<0.05) in duration and ankle flexion and extension Angle.The incidence of thrombosis was 9.8% in the control group and 2.6% in the test group.There was no significant difference in the incidence of thrombosis between the two groups (P>0.05),but the absolute incidence of thrombosis in the test group was significantly lower than that in the control group.Conclusion Ankle pump exercise training instrument in hip fracture thrombosis prevention,with simple operation,traceable patient exercise data,reducing nurse workload,increasing patient compliance and so on,could play the role of quantifying the exercise time of ankle pump exercise and standardizing the exercise action,to achieve better prevention of deep vein thrombosis.It was worth popularizing in clinical practice.
谌艳,江伟,王志聪,吴俞萱. 踝泵运动训练仪在髋部骨折患者血栓预防中的应用[J]. 实用骨科杂志, 2020, 26(8): 700-706.
Chen Yan,Jiang Wei,Wang Zhichong,et al. Application of Ankle Pump Exercise Training Instrument in Prevention of Thrombus in Patients with Hip Fracture. sygkzz, 2020, 26(8): 700-706.