间歇脉冲加压抗栓系统对预防PCI术后患者下肢深静脉血栓形成的临床观察  

Clinical Observation of Intermittent Pulse Compression Antithrombotic System on Prevention of Lower Extremity Deep Venous Thrombosis after PCI

作　　者：叶丽冰 何春梅 张望 陈月嫦 冯艳萍 YE Li-bing;HE Chun-mei;ZHANG Wang(Department of Internal Medicine,Guangdong Nongken Center Hospital,Zhanjiang 524002,Guangdong Province,China)

机构地区：[1]广东省湛江市农垦中心医院内三科

出　　处：《罕少疾病杂志》2019年第5期79-81,共3页Journal of Rare and Uncommon Diseases

基　　金：2018年度湛江市科技攻关计划，项目编号：2018B01084

摘　　要：目的探究PCI(经皮冠状动脉介入治疗)术后患者在使用间歇脉冲加压抗栓系统后对下肢深静脉血栓(DVT)形成的影响。方法研究对象为我院2016年6月-2018年6月收治的120例PCI术后患者,将其采用随机数字表法分成预防1组与预防2组,60例观察组采用间歇脉冲加压抗栓系统进行预防,另60例对照组采用弹力绷带进行预防。探讨实施不同预防干对下肢深静脉血栓形成的影响。结果观察组DVT、肢体肿胀以及疼痛等并发症发生率上(1.67%、3.33%、3.33%)显著比对照组(13.33%、15.00%、18.33%)低(P<0.05),而观察组术后7d的血流峰值速率(Vmax)与平均血流速率(Vmean)上显著比对照组低,且观察组术后住院天数明显短于对照组(P<0.05)。结论将间歇脉冲加压抗栓系统应用于PCI术后患者时,能显著降低DVT发生率,不仅如此,还能减少患者不适感,此方法值得应用与推广。Objective To investigate the effect of intermittent pulse compression antithrombotic system on the formation of deep venous thrombosis(DVT)in lower limbs after PCI(percutaneous coronary intervention).Methods 120 cases of patients admitted to our hospital from June 2016 to June 2018 after PCI were divided into prevention group 1 and prevention group 2 by random number table method.60 cases of observation group were prevented by intermittent pulse pressure antithrombotic system,and 60 cases of control group were prevented by elastic bandage.To investigate the effect of different prevention methods on deep venous thrombosis of lower limbs.Results Observation group DVT,limb swelling and pain on the incidence of complications such as(1.67%,3.33%,3.33%),significantly lower than the control group(13.33%,15.00%,18.33%)(P<0.05),while the observation group of 7 d after blood flow peak velocity(Vmax)and average flow rate(Vmean)significantly lower than the control group,postoperative hospitalization days and observation group was obviously shorter than the control group(P<0.05).Conclusion The application of intermittent pulse pressure antithrombolytic system in patients after PCI can significantly reduce the incidence of DVT.In addition,it can also reduce patients'discomfort.This method is worthy of application and promotion.

关 键 词：间歇脉冲加压抗栓系统 PCI术后 下肢深静脉血栓 预防效果 

分 类 号：R323.72[医药卫生—人体解剖和组织胚胎学]