|
|
|
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.
|
|
|
|
|
|
［1］中华医学会外科学分会血管外科学组.深静脉血栓形成的诊断和治疗指南(第三版)［J］.中华血管外科杂志，2017，2(4)：201-208.
［2］中华医学会骨科学分会.中国骨科大手术静脉血栓栓塞症预防指南［J］.中华骨科杂志，2016，36(2)：65-71.
［3］王昕宇，王真真，苏丹.关于踝泵运动在预防深静脉血栓形成中的研究进展［J］.血管与腔内血管外科杂志，2017，3(5)：972-973.
［4］梁光红.量化踝泵运动对腹部手术患者术后深静脉血栓形成的预防效果研究［J］.检验医学与临床，2014，11(17)：2382-2383；2386.
［5］中华医学会骨科学分会.中国骨科大手术静脉血栓栓塞症预防指南［J］.中华骨科杂志，2009，29(6)：602-604.
［6］孙灏.下肢深静脉血栓发生的时间特点及D-二聚体的变化规律［D］.承德医学院，2017.
［7］臧加成，马信龙，马剑雄，等.不同部位骨折深静脉血栓发生率的流行病学研究［J］.中华骨科杂志，2016，36(9)：540-545.
［8］梁玲玲，彭伶丽，张欢，等.实施预警机制对骨科手术后深静脉血栓形成的影响［J］.实用骨科杂志，2019，25(1)：93-96.
［9］程宏，魏栋.应用PDCA理论调查分析骨科护士预防护理DVT现状［J］.实用骨科杂志，2019，25(7)：670-672.
［10］谌艳，吴俞萱，江伟，等.踝泵运动对下肢静脉血流动力学影响的研究［J］.创伤外科杂志，2020，22(1)：52-56. |
|
|
���������� 14010702070875��