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直膝截石位预防腔镜膀胱截石位手术患者下肢深静脉血栓形成的效果分析 预览 被引量:1

Analysis on effect of straight knee lithotomy position prevention on deep venous thrombosis of lower limbs in patients with laparoscopic bladder lithotomy position operation
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摘要 目的探讨手术中采取直膝截石位预防腔镜膀胱截石位手术患者下肢深静脉血栓形成的效果。方法收集我院在2014年6月~2015年6月收治的100例妇科腔镜膀胱截石位手术患者。随机分为两组,分别为对照组(50例)和观察组(50例)。给予对照组患者传统膀胱截石位进行手术治疗,而观察组患者采取直膝截石位进行手术,比较并分析两组患者治疗后的临床疗效。结果通过研究表明,观察组患者血压下降的程度比较小,而对照组患者血压下降的程度比较大,差异具有统计学意义(P〈0.05);采取直膝截石位的观察组患者,其下肢深静脉血栓形成只占6%,而对照组患者的下肢深静脉血栓占26%,差异有统计学意义(P〈0.05)。结论在手术治疗中,采取直膝截石位有利于降低腔镜膀胱截石位手术患者的血压,使血压的变化处于一个稳定的状态,并且对于患者下肢深静脉血栓的形成有一定的预防作用,还可以降低术后并发症的发生率,具有非常大的医疗价值,值得在临床医学界推广运用。 Objective To analyze the effect of straight knee lithotomy position prevention on deep venous thrombosis of lower limbs in patients with laparoscopic bladder lithotomy position operation. Methods 100 patients with laparoscopic bladder lithotomy position operation,who were received and treated in our hospital from June 2014 to June 2015,were selected and randomly divided into control group and observation group,with 50 cases in each group.To carried out traditional bladder lithotomy position operation in patients of control group,to carried out straight knee lithotomy position operation in patients of observation group,to compare and analyze the clinical effect after treatment of patients between the two groups. Results Study results showed that,the decreased degree of blood pressure of patients in observation group was less than which in control group,and the proportion of deep venous thrombosis of lower limbs in observation group(6%) was lower than which in control group(26%),the differences was statically significant(P 0.05). Conclusion Straight knee lithotomy position in surgical treatment is propitious to reduce the blood pressure of patients with laparoscopic bladder lithotomy position operation,and could make the change of blood pressure to be in a stabilized state,has certain preventive effect on deep venous thrombosis of lower limbs,could reduce the incidence of postoperative complications,has very large medical value,is worthy of clinical popularization and application.
作者 凌丽娟 LING Lijuan (Department of Operating Room,Shenzhen People's Hospital,Shenzhen 518020,China)
出处 《中国医药科学》 2016年第4期114-117,共4页 China medicine and pharmacy
关键词 直膝截石位 下肢 深静脉血栓形成 膀胱截石位 Straight knee lithotomy position Lower limbs Deep venous thrombosis Bladder lithotomy position
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