Analysis of influencing factors and countermeasures of upper extremity thrombophlebitis in patients aftergynecological general anesthesia
妇科全麻术后患者发生上肢血栓性静脉炎的影响因素分析与对策

摘要

目的 探讨采用妇科全麻手术的患者在术后出现上肢血栓性静脉炎的原因以及临床应对的对策 研究；方法 采用回顾性分析法对 2021 年 9 月-2022 年 9 月期间在我院妇科接受手术治疗的患者 82 例，这 些患者在进行全麻手术后有 5 例出现了上肢血栓性静脉炎的症状，通过分析患者的临床资料探讨其出现上 肢血栓性静脉炎的原因，并对患者采取及时有效的干预策略。结果 82 例患者采用及时有效的干预策略均获 得了良好的临床效果，康复出院；结论 根据我们临床的研究发现，返房后拔除使用麻醉药品的留置针，静 脉敷水胶体材料，中药涂擦，硫酸镁+地米+喜辽妥外敷，这 3 种效果都很好，大大降低静脉炎的发生，第 3 种血栓性静脉炎没有一例。对于妇产全麻手术患者术后发生上肢血栓性静脉炎主要是由于肥胖、长期卧床 所导致的，及时采取有效的干预措施，能够在很大程度上降低患者的发病概率，提升患者的住院质量和住 院满意度。

Abstract

Objective To investigate the causes of upper limb thrombophlebitis after gynecological surgery under general anesthesia and the clinical countermeasures;
Methods Retrospective analysis was used to analyze the clinical data of 82 patients with upper limb thrombophlebitis after general anesthesia in our hospital from September 2021 to September 2022, and the causes of upper limb thrombophlebitis were discussed, and timely and effective intervention strategies were taken for patients.
Results 82 patients were treated with timely and effective intervention strategies and achieved good clinical results;
Conclusion   According to our clinical study, after returning to the room, the indwelling needle using narcotic drugs was removed, the hydrocolloid material was applied intravenously, the traditional Chinese medicine was applied, and the magnesium sulfate + dexamethasone + Hirudoid was applied externally, all of which had good effects and greatly reduced the occurrence of phlebitis, and there was no case of the third kind of thrombophlebitis. Thrombophlebitis of upper limbs after general anesthesia is mainly caused by obesity and long-term bedridden. Timely and effective intervention measures can greatly reduce the incidence of patients and improve the quality and satisfaction of hospitalization.