Study on the Prevention of Deep Vein Thrombosis after Gynecological Tumor Operation with Low Molecular Heparin Calcium Combined with Massage

Abstract：Objective:To explore the effect of Low Molecular Weight Heparin Calcium combined with massage on the prevention of lower extremity venous thrombosis after gynecological tumor operation.Method:180 cases from the gynecology hospital treated by uterine fibroids after gynecologic abdominal operation,were randomly divided into two groups,90 patients in control group,treated with bed rest,raising the affected limb treatment,6 hours after the operation began to massage,2 times a day,each time for 10 minutes;90 cases in experimental group,on the basis of the conventional therapy and massage,on the first morning after operation to the subcutaneous injection of Low Molecular Heparin Calcium 4000 IU,1 times a day,for 5 consecutive days.After the end of treatment,before and after treatment in patients with platelet count(PLT),hemoglobin(Hb),fibrinogen(FIB),hematocrit(HCT),index of Hematology,and color Doppler ultrasound index were compared.Result:After treatment,compared with control group,the experimental group PLT,Hb increased,the differences were statistically significant(P<0.05);the experimental group FIB,HCT decreased,the differences were statistically significant(P<0.05);the incidence of venous thrombosis,the experimental group(5.5%) was significantly lower than that of control group(10.0%),the difference was statistically significant(P<0.05);the two groups after treatment the blood vessel diameter,blood flow velocity were improved obviously,the differences were statistically significant(P<0.05);after treatment compared with the control group,the blood vessel diameter was decreased more,blood flow velocity was increased significantly in the experimental group,the differences were statistically significant(P<0.05).Conclusion:Low Molecular Heparin Calcium combine with massage in gynecological tumor surgery is exact and significant effect of lower limb venous thrombosis prevention,worthy of further promotion in clinical nursing work.