急性下肢深静脉血栓形成早期下床活动与卧床治疗的对照研究  

Control study of acute lower extremity deep vein thrombosis early ambulation and stay in bed for t^eatment

作　　者：陈孝毅 

机构地区：[1]浙江省青田县仁庄镇卫生院,浙江青田323900

出　　处：《医药前沿》2015年第6期90-91,共2页Journal of Frontiers of Medicine

摘　　要：目的：探讨急性下肢深静脉血栓形成早期下床活动与卧床治疗的优劣。方法：选取2008年6月-2010年6月我院收治的DVT患者90例，按数字随机表法分为观察组和对照组各45例。在常规治疗的基础上，对照组予以卧床治疗，观察组早期下床活动。结果：观察组总有效率为95．6％（43／45），对照组为82．2％（37／45），差异有统计学意义（P〈0．05）；对照组在治疗后7d疼痛评分有显著下降（P〈0．05），观察组治疗后3d疼痛评分即有显著下降（P〈0．05），观察组治疗后3d、5d的疼痛评分均显著低于对照组（P〈0．05），患肢大腿周径差值均显著大于对照组（P〈0．05）；两组肺栓塞发生率比较，差异无统计学意义（P〉0．05）。结论：相比卧床治疗，急性下肢深静脉血栓形成早期下床活动能显著提高临床疗效，更快缓解疼痛，改善消肿程度，且不增加肺栓塞发生率，值得临康推广应用。Objective To explore the acute lower extremity deep vein thrombosis early ambulation and stay in bed for treatment. Methods Selection from June 2008 to June 2010,90 cases of DVT in our hospital, in accordance with the table numbers randomly divided into observation group and control group （n = 45）. On the basis of routine therapy and control group to stay in bed for treatment, the observation group of early ambulation. Results Observation group total effective rate was 95.6% （43/45）, the control group was 82.2% （37/45）, the difference was statistically significant （P 〈 0.05） ; Control group after treatment 7 d pain score were significantly decreased （P 〈 0.05）, the observation group 3 d pain score the has dropped significantly after treatment （P 〈0.05）, the observation group after treatment of 3 d, 5 d pain scores were significantly lower than control group （P 〈 0.05）, limb week thigh diameter difference were significantly greater than the control group （P 〈 0.05）. Conclusions Bed treatment, compared with acute lower extremity deep vein thrombosis early ambulation can significantly improve the clinical curative effect, and does not increase the incidence of pulmonary embolism, worthy of clinical popularization and application.

关 键 词：急性下肢深静脉血栓 活动 卧床 

分 类 号：R543[医药卫生—心血管疾病]