慢性阻塞性肺疾病患者下肢深静脉血栓的预防  

The prevention of lower deep vein thrombosis of patients with chronic obstructive pulmonary disease

作　　者：姜远普[1] 

机构地区：[1]成都市第三人民医院重症监护室,成都610031

出　　处：《中华肺部疾病杂志（电子版）》2010年第6期17-19,共3页Chinese Journal of Lung Diseases(Electronic Edition)

摘　　要：目的评价间歇充气加压(intermittent pnenmatic compression,IPC)治疗对重症监护室(intersire care unit,ICU)慢性阻塞性肺疾病急性加重期(acute embittering chromic obstructive piclmonary disease,AECOPD)患者下肢深静脉血栓(deep vein thrombosis,DVT)的预防作用。方法采用前瞻性随机对照临床实验,将入住重症监护室AECOPD的患者随机分成治疗组和对照组,治疗组采用IPC治疗预防下肢DVT形成,观察两组下肢DVT的发生率、机械通气时间、ICU住院日、ICU的病死率。结果治疗组下肢DVT的发生率明显低于对照组(P<0.05),两组机械通气时间、ICU住院日、ICU的病死率比较差异无统计学意义(P>0.05)。结论经IPC治疗能够预防重症监护室AECOPD患者下肢DVT形成。Objective To evaluate the efficacy of intermittent pneumatic compression （ IPC ） in the prevention of lower deep vein thrombosis （DVT） of patients with acute embittering chronic obstructive pulmonary disease （ AECOPD ） in intensive care unit （ ICU ）. Methods We conducted aprospeetive randomized controlled study. Patients with AECOPD were randomly allocated into the treatment group and the control group after ICU admission, the treatment group were received IPC to prevent lower DVT . To observe the rate of DVT , mechanical ventilation day, the day of ICU stay, and ICU mortality rate in two groups. Results Compared with the control group, the treatment group had a significantly lower rate of lower DVT（ P 〈 0.05 ）. The day of ICU stay, mechanical ventilation day and the ICU mortality rate of two group were not statistically significant （ P 〉 0.05 ）. Conclusion IPC can prevent lower DVT of patients with AECOPD in ICU.

关 键 词：慢性阻塞性肺疾病 间歇充气加压 血栓 深静脉 预防 

分 类 号：R563[医药卫生—呼吸系统]