Nursing effects of intermittent pneumatic compression pump combined with enteral nutrition support in lower extremity deep venous thrombosis after orthopedic surgery.

Abstract

ObjectiveIt aimed to explore the nursing effect of intermittent pneumatic compression pump (IPC) plus enteral nutrition support (ENS) in the prevention of deep venous thrombosis (DVT) in lower limbs of patients after orthopedic surgery (OS).Methods235 patients who underwent hip joint surgery between January 2021 and January 2022 were enrolled as regular group (RG, routine care plan), and 268 patients who underwent hip joint surgery between February 2022 and February 2023 were enrolled as joint group (JG, IPC combined with ENS care plan). The RG only received routine nursing, and the JG received IPC plus ENS nursing. The subjects' coagulation indicators, DVT incidence, postoperative recovery, and other indicators were sorted out.ResultsAfter IPC plus ENS nursing, hemoglobin (Hb) and platelet (PLT) in the JG were visibly lower as against the RG (<i>p</i> < .05); As against the RG, the diameter of bilateral common femoral vein (CFV) did not decrease, and the maximum blood flow velocity (BFV) and average BFV of bilateral CFV were visibly higher in the JG (<i>p</i> < .05). In the JG, fibrinogen (FIB), prothrombin time (PT), activated partial thromboplastin time (APTT) were visibly increased, while D-dimer (D-D) and thrombin time (TT) were visibly decreased; the incidence of DVT was visibly lower; the immobile time in bed and hospital stay was visibly shortened, and the nursing satisfaction of patients was visibly increased (all <i>p</i> < .05).ConclusionIPC plus ENS in the nursing of patients after OS can effectively reduce the incidence of DVT and promote postoperative recovery.