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基于抗栓泵的穴位按摩装置在胃肠肿瘤围手术期患者中的应用效果观察
王建茹,李金亭,莒展博,张顺平
0
天津市中西医结合医院天津市南开医院天津 300100
摘要:
目的:探讨基于抗栓泵的穴位按摩装置在预防胃肠肿瘤患者术后下肢深静脉血栓(LEDVT)及胃肠功能恢复中的应用效果。方法:选择2024年1月—2025年5月在本院胃肠外科行手术治疗的胃肠肿瘤患者60例,随机分为观察组(抗栓泵+穴位按摩装置进行穴位按摩)、对照组(抗栓泵+人工穴位按摩),每组30例。比较两组的凝血功能指标和胃肠功能恢复时间,以及LEDVT发生情况。结果:与对照组比较,观察组术后活化部分凝血活酶时间(APTT)和凝血酶时间(TT)缩短,差异有统计学意义(P <0.05)。两组D-二聚体和纤维蛋白原(FIB)差异无统计学意义(P >0.05)。观察组肠鸣音恢复时间、开始流质饮食时间短于对照组,差异有统计学意义(P <0.05),两组首次排气时间、首次排便时间及住院时间,差异无统计学意义(P >0.05)。两组均未发生LEDVT。结论:与传统抗栓泵加人工穴位按摩相比,基于抗栓泵的穴位按摩装置在加速胃肠功能恢复方面具有显著优势。
关键词:  抗栓泵  穴位按摩  胃肠肿瘤  深静脉血栓  胃肠功能
DOI:10.3969/j.issn.1007-6948.2026.01.019
投稿时间:2025-05-11
基金项目:天津市卫生健康委员会中医中西医结合科研课题(2023098);天津市医学重点学科建设资助(TJYXZDXK-3-028C)
Application of an anti-thrombosis pump-based acupoint massage device in perioperative patients with gastrointestinal tumors
WANG Jian-ru,LI Jin-ting,JU Zhan-bo
Tianjin Nankai Hospital, Tianjin300100, China
Abstract:
Objective To investigate the efficacy of an acupoint massage device integrated with intermittent pneumatic compression in preventing lower extremity deep vein thrombosis (LEDVT) and promoting gastrointestinal recovery in postoperative patients with gastrointestinal tumors. Methods Sixty patients with gastrointestinal tumors who underwent surgery in the department of gastrointestinal surgery of our hospital from January 2024 to May 2025 were randomly assigned to two groups (n=30 per group).Observation group: Intermittent pneumatic compression devices plus device-assisted acupoint massage, Control group: Intermittent pneumatic compression devices plus manual acupoint massage.Coagulation markers, gastrointestinal function recovery time, and LEDVT incidence were compared between the groups. Results Compared with the control group, the observation group exhibited significantly shorter activated partial thromboplastin time (APTT) and thrombin time (TT) postoperatively (P <0.05). No statistically significant differences were observed in D-dimer and fibrinogen (FIB) levels between the two groups (P >0.05). The time to bowel sound recovery and time to initiating liquid diet were significantly shorter in the observation group than in the control group (P <0.05). However, no significant intergroup differences were found in time to first flatus, time to first defecation, or length of hospital stay (P >0.05). No LEDVT occurred in either group. Conclusion  Compared with conventional intermittent pneumatic compression combined with manual acupoint massage, the IPC-integrated acupoint massage device demonstrates superior efficacy in accelerating gastrointestinal function recovery.
Key words:  Intermittent pneumatic compression  acupoint massage  gastrointestinal cancer  lower extremity deep vein thrombosis  gastrointestinal function

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