IPC预防DVT对重症患者预后的影响  

The impact of preventing DVT with IPC on the prognosis of critically ill patients.

作　　者：李荞[1] 张川[1] 曾薇[1] 李晓玉[1] 

机构地区：[1]成都市第三人民医院重症医学科,四川成都610031

出　　处：《四川医学》2013年第8期1095-1096,共2页Sichuan Medical Journal

基　　金：四川省卫生厅科研课题(编号:080045)

摘　　要：目的探讨间歇充气加压治疗（IPC）预防深静脉血栓（DVT）对重症患者预后的影响。方法将2008年6月~2011年6月收入综合重症监护室（GICU）的重症患者随机分配到IPC组或对照组。IPC组除常规特级护理外,从患者入ICU当日起到离开GICU期间,接受IPC,预防DVT,对照组予常规特级护理。比较两组患者DVT发生率、PE发病率、机械通气时间、GICU住院日、非心源性猝死发生率、GICU病死率。结果在观察期内,DVT发生率IPC组显著低于对照组（4.1%VS 17.1%,P〈0.01）,高度可疑PE发生率IPC组显著低于对照组（1.2%VS 6.5%,P〈0.01）,非心源性猝死发生率IPC组显著低于对照组（1.6%VS 5.3%,P〈0.01）,带机时间IPC组显著低于对照组[（6.91±8.39）d VS（8.50±9.10）d,P=0.047],GICU住院日IPC组显著低于对照组[（8.88±8.13）d VS（10.38±8.59）d,P=0.013],两组病死率差异无统计学意义（21.4%VS 27.4%,P=0.266）。结论 IPC预防DVT有助于改善重症患者的预后,它能够显著降低重症患者非心源性猝死发生率以及减少患者的机械通气时间以及GICU住院日。Objective To evaluate the impact of preventing DVT with intermittent pneumatic compression（IPC） on the prognosis of critically ill patients.Methods Patients were randomly assigned to receive or not receive IPC after GICU（general intensive care unit） admission.Compare the rate of deep vein thrombosis（DVT）,pulmonary embolism（PE）,GICU stay,mechanical ventilation day,rate of non-sudden cardiac death and ICU mortality rate during the subsequent 28 days.Results Compared with the controlled group,IPC group had a significantly lower rate of DVT、PE and non-sudden cardiac death.The days of GICU stay and mechanical ventilation in the IPC group were significantly shorter.Conclusion Using IPC prevent DVT had a beneficial impact on the prognosis of critically ill patients.

关 键 词：间歇充气加压治疗 血栓 重症患者 预后 

分 类 号：R473[医药卫生—护理学]