足踝主、被动运动对下肢静脉回流的影响  

The effects of passive and active movements of foot and ankle on the venous return in the lower limb

作　　者：陈廖斌[1] 顾洁夫[1] 王华[1] 吴静[2] 

机构地区：[1]武汉大学中南医院骨科,430071 [2]武汉大学中南医院外科B超室,430071

出　　处：《中华骨科杂志》2001年第3期145-147,共3页Chinese Journal of Orthopaedics

摘　　要：目的探讨足踝不同方式的主、被动运动对下肢静脉回流的影响，为预防人工关节置换术后静脉血流瘀滞、下肢深静脉血栓 (deep- vein thrombosis, DVT）形成提供依据。方法用彩色超声多普勒检测 15名 30侧健康成人股静脉在静息状态、足踝不同方式的被动及主动运动状态下的静脉血流峰速度和平均速度。结果足踝在被动运动中的屈伸，内、外翻及"环转"三组运动方式中，屈伸和内、外翻运动只能轻度增加股静脉血流速度，"环转"运动对股静脉血流速度的影响优于前两者，峰速度增加 31.3％，平均速度增加 33.9％。主动运动的三组运动方式中，"环转"运动对股静脉血流速度分别比屈伸和内、外翻运动峰速度增加 41.3％和 32.9％、平均速度增加 40.1％和 32.4％。各因素中足踝主动"环转"运动对股静脉血流的促进作用最强，峰速度增加 69.3％，平均速度增加 69.1％。结论足踝的主动"环转"运动，屈伸运动，内、外翻运动和被动"环转"运动均可应用于人工关节置换术后预防下肢 DVT形成，主动"环转"运动的作用最为理想。Objective To explore the effects of different types of passive and active movements of foot and ankle on the venous return in the lower limb in order to provide evidence for prevention of venous stasis and deep- vein thrombosis(DVT)after joint replacement. Methods Peak and average velocities of the femoral vein were detected and measured by using color ultrasound Doppler on 30 limbs in 15 healthy volunteers under the circumstance of resting and different types of passive and active movements of foot and ankle. Results During the passive movements of the flexion and extension, inversion and eversion, and the circumduction of foot and ankle, the flexion and extension as well as the inversion and eversion only slightly increased the velocities of venous blood flow. The circumduction produced a higher increase in venous blood flow than the former two movements, increasing the peak velocity by 31.3％ and average velocity by 33.9％ . In the same 3 types of the active movements of foot and ankle, the active flexion and extension, inversion and eversion resulted in increases in peak velocity of 41.3％ and 32.9％ and in average velocity of 40.1％ and 32.4％ , respectively. The active circumduction of foot and ankle produced the strongest influence on the promotion of venous blood flow with the peak velocity increased by 69.3％ and average velocity by 69.1％ . Conclusion The active circumduction, flexion and extension, inversion and eversion, and the passive circumduction of foot and ankle can be utilized to prevent DVT after joint replacement. The active circumduction of foot and ankle is the optimal exercise to prevent DVT.

关 键 词：静脉血栓形成 运动活动 血液循环 足踝 下肢 

分 类 号：R687.4[医药卫生—骨科学]