Analysis of the Effect of Preventive Acupoint Massage on Perioperative Deep Vein Thrombosis (DVT) in Patients Based on the ERAS Concept

xiaowei bai; na jing; Zihui Wang; Cuili Niu

doi:10.18282/po4749

xiaowei bai Xingtai Central Hospital,Gynecology,Xingtai City, Hebei Province, China,054000
na jing Xingtai Central Hospital,Gynecology,Xingtai City, Hebei Province, China,054000
Zihui Wang Xingtai Central Hospital,Critical care medicine,Xingtai City, Hebei Province, China,054000
Cuili Niu ^* Xingtai Central Hospital,Gynecology,Xingtai, Hebei, China 054000

Article ID: 4749

Abstract

Objective: To analyze the effect of preventive acupoint massage on perioperative deep vein thrombosis (DVT) in patients based on the Enhanced Recovery After Surgery (ERAS) concept. Methods: The clinical data of 116 gynecological patients who received laparoscopic total hysterectomy in the hospital from February 2022 to February 2023 were analyzed retrospectively. They were divided into a control group (n=58, receiving conventional perioperative care) and a study group (n=58, receiving conventional perioperative care plus preventive acupoint massage based on the ERAS concept) according to different perioperative nursing plans. The lower limb deep vein blood flow velocity and lower limb swelling degree before surgery and 7 days after surgery were compared between the two groups. Statistics were collected on nursing satisfaction and the incidence of lower limb DVT within 3 months postoperatively. Results: Compared with pre-operative levels, the blood flow velocity of the common femoral vein (CFV), superficial femoral vein (SFV), and popliteal vein (PV) in the affected limb increased in both groups 7 days after surgery. Furthermore, compared to the control group, the blood flow velocity of the CFV, SFV, and PV in the affected limb of the study group was significantly higher (P<0.05). Compared with pre-operative measurements, the thigh circumference and calf circumference of the affected limb increased in both groups 7 days after surgery; however, the increases in thigh circumference and calf circumference in the study group were significantly smaller than those in the control group (P<0.05). Compared to the control group, the study group showed higher nursing satisfaction and a significantly lower incidence of lower limb DVT within 3 months postoperatively (P<0.05). Conclusion: Preventive acupoint massage based on ERAS concept can improve the blood flow velocity and swelling degree of the affected lower extremity after gynecological laparoscopic surgery, reduce the risk of DVT of the lower extremity, and have high nursing satisfaction.