康复训练联合气压治疗对宫颈癌根治术后下肢水肿患者的影响

摘要

目的：：探讨康复训练联合气压治疗对宫颈癌根治术后下肢水肿患者的影响。方法：将120例宫颈癌根治术后患者随机分为研究组和对照组各60例,2组均给予常规宫颈癌术后护理,研究组在此基础上增加康复训练联合气压治疗。结果：术后第7及14天,研究组大腿中段周径均明显小于对照组(均 P <0.05)。术后第7天,在下肢肿胀感和下肢疼痛方面,2组间比较差异有统计学意义(P <0.05),但在行走障碍方面差异无统计学意义。术后第7天,2组纤溶指标 D-二聚体均较术前升高(P <0.05),且研究组更低于对照组(P <0.05)；2组凝血酶原时间组间及组内比较均差异无统计学意义。术后第7、14天及出院后14天,2组 SPB 评分均较术后第1天呈逐渐下降趋势(P <0.05),且研究组更低于对照组(P <0.05)。术后第14天,下肢深静脉血管彩超显示,研究组发生下肢深静脉血栓形成1例,对照组有5例,研究组下肢深静脉血栓发生率明显低于对照组(1.67%、8.33%,P <0.05)。结论：康复训练联合气压治疗可有效降低宫颈癌根治术后患者下肢水肿发生率和患者的主观不适感,预防下肢深静脉血栓的形成,值得临床推广应用。%Objective:To study the effects of rehabilitation training combined with pressure treatment on lower limb edema after radical hysterectomy.Methods:120 patients after radical hysterectomy were randomly divided into the study group and the control group,60 patients in each group.The two groups were given routine cervical cancer postoperative care.Additionally,the study group was treated by rehabilitation training combined with pressure treatment.Results:At 7th and 14th day after surgery,the middle thigh circumferences in the study group were sig-nificantly less than in the control group (P <0.05 ).At 7th day after surgery,there was significant difference in lower limb swelling and pain betweent two groups (P <0.05),but there was no statistically significant difference in the trouble walking betweeen two groups.At 7th day after surgery,D-dimer in the two groups was increased,more significantly in the study group than in the control group (P <0.05),but there was no statistically significant differ-ence in the prothrombin time between the two groups.At 7th and 14th day after surgery and at 14 day after dis-charge,the SPB score in the two groups showed a gradually decreasing trend,and that in the study group was sig-nificantly lower than in the control group (P <0.05 ).At 14th day after surgery,the color Doppler ultrasound of deep vein of lower limbs showed that lower limb deep vein thrombosis occurred in one case in the study group,and 5 cases in the control group (1.67% vs .8.33%,P < 0.05 ).Conclusion:Rehabilitation training combined with pressure treatment can effectively reduce the incidence of lower limb edema,alleviate the subjective discomfort,and prevent the deep venous thrombosis of lower limb in postoperative cervical carcinoma patients.