Nursing Research Of Combined Application With GCS And VFP To Prevent Deep Venous Thrombosis Of Patients Undergoing Laparoscopic Radical Resection Of Rectal Cancer

Objective In this study,To investigate which method can decrease the incidence of deep venous thrombosis of patients undergoing laparoscopic radical resection of rectal cancer more effectively,we use both GCS and VFP to prevent thrombosis compare with only GCS and VFP.Explore the different nursing measures to prevent laparoscopic.discuss the prevention effect of deep venous thrombosis in patients with radical resection of rectal cancer of intraoperative application of GCS and VFP,analysis of its impact on patients with bleeding in order to prevent laparoscopic rectal.and discuss the most effective way to cure lower extremity venous thrombosis in patients with cancer.Methods 120 cases of undergoing laparoscopic radical resection of rectal cancer patients in Weifang People's Hospital from June 2017 to February 2018,are randomly divided into three groups.A group of patients wear GCS(40 cases).Group B patients with intraoperative application of venous pump(40 cases).Group C patients using application with GCS and VFP(40 cases),.All three groups underwent laparoscopic radical resection of the rectal cancer.All patients underwent preoperative routine nursing care,and performed activities such as flexion and extension of the lower limbs,rotation,leg raising and quadriceps femoris contraction.Three groups before and after the evaluation of the incidence of deep venous thrombosis,hemoglobin,white blood cell count and coagulation function comparison,both lower extremities color Doppler examination,measurement of external iliac vein,common femoral vein,deep femoral vein,popliteal vein Diameter,venous flow rate.And the amount of intraoperative blood loss,infusion volume,operation time,intraoperative temperature and other basic information collection.The data were analyzed by SPSS19.0.The measurement data were expressed as mean and standard deviation(),and the mean of the groups was comparedby analysis of variance(ANOVA);before and after treatment,paired t-test was used.The count data were analyzed by chi-square test and correlation analysis Regression analysis method,and calculate the corresponding OR value.Results 1.There was significant difference between the three groups in GCS combined with VFP,separate GCS group and VFP group in preventing lower extremity venous thrombosis after laparoscopic radical resection of rectal cancer(P < 0.05).The gradient pressure elastic stockings and the sole venous pump group were higher than those of the separate gradient pressure elastic stockings group and the sole venous pump group respectively(P <0.05).2.The results of preoperative prothrombin time(PT),activated partial thromboplastin time(APTT),D-dimer time,and hemoglobin concentration,white blood cell count index between the groups showed no significant difference.Prothrombin time(PT),APTT,D-di Polymer time,and hemoglobin concentration,white blood cell count indicators have significant changes,there was a significant difference(P <0.05).3.The group of GCS combined with VFP,separate GCS group,VFP group in preoperative external iliac vein,common femoral vein,deep femoral vein,vein vein diameter size,vein flow velocity Doppler examination of size and other indications was not significant.The indexes of Doppler,including the external iliac vein,common femoral vein,deep femoral vein,diameter of popliteal vein and venous flow velocity on the first postoperative day,postoperative day 1 and postoperative 7d,showed significant changes P <0.05).4.GCS combined with VFP group,GCS group and VFP group had significant difference in the incidence of venous thrombosis immediately after operation,1d after operation and 7 days after operation.Conclusion The study of GCS combined with VFP group?GCS group? VFP group show that these methods above can decrease the incidence of patients undergoing laparoscopic radical resection of rectal cancer.It is the most effective method that combined application with GCS and VFP to prevent deep venous thrombosis of patients undergoing laparoscopic radical resection of rectal cancer by promoting blood flow in the deep veins of the lower extremities,effectively prevent the activation ofcoagulation factors and prevent thrombosis,meanwhile,it enhances the dissolution effect of plasma fibers and avoids the formation of thrombus.The group of GCS combined with VFP can effectively reduce the incidence of postoperative deep venous thrombosis of the lower limbs and play a good effect in preventing deep venous thrombosis in patients undergoing laparoscopic radical resection of rectal cancer.It's helpful to achieve the flow of standardized prevention and treatment of deep venous thrombosis in patients with laparoscopic rectal cancer perioperative care.