论文部分内容阅读
目的:探讨中医定向透药联合局部推拿护理对关节置换术后下肢深静脉血栓的预防作用。方法:选取243例关节置换术患者,采用回顾性分析研究方法,其中采用术后常规护理的132例为对照组,在术后常规基础上予中药定向透药联合局部推拿护理的111例为治疗组。观察两组护理前后血浆凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、D-二聚体及C-反应蛋白(CRP)。结果:治疗组护理后PT、APTT均高于对照组(P<0.05),而D-二聚体、CRP均低于对照组(P<0.05)。对照组血栓发生率为6.1%,治疗组为1.0%,差异有统计学意义(P<0.05)。结论:关节置换术后,采用中医定向透药联合局部推拿护理能降低血栓发生率,其机制可能与调节PT、APTT、D-二聚体及CRP有关。
Objective: To investigate the preventive effect of oriental and transdermal combined local massage nursing on deep venous thrombosis of lower extremity after joint replacement. Methods: A total of 243 cases of arthroplasty were selected and retrospectively analyzed. Among them, 132 cases of postoperative routine care were used as the control group, and 111 cases were treated with oriental and transdermal local traditional Chinese medicine group. Plasma prothrombin time (PT), activated partial thromboplastin time (APTT), D-dimer and C-reactive protein (CRP) were observed before and after treatment. Results: The PT and APTT of the treatment group were significantly higher than those of the control group (P <0.05), while the D-dimer and CRP of the treatment group were lower than those of the control group (P <0.05). The incidence of thrombosis was 6.1% in the control group and 1.0% in the treatment group, with a significant difference (P <0.05). Conclusion: After the arthroplasty, the use of oriental medicine combined with local massage can reduce the incidence of thrombosis, the mechanism may be related to the regulation of PT, APTT, D-dimer and CRP.