早期康复训练联合气压治疗预防综合性ICU长期卧床高龄患者下肢深静脉血栓形成的临床研究  

Clinical study of early rehabilitation training combined with air pressure therapy for the prevention of lower limb deep vein thrombosis in elderly patients with comprehensive long-term bedridden ICU

作　　者：刘瑞华 刘洁梅 程志元 LIU Ruihua;LIU Jiemei;CHENG Zhiyuan(Department of Critical Care Medicine,Yangjiang People′s Hospital,Guangdong Province,Yangjiang 529500,China;The Third Department of Urology,Yangjiang People′s Hospital,Guangdong Province,Yangjiang 529500,China)

机构地区：[1]广东省阳江市人民医院重症医学科,广东阳江529500 [2]广东省阳江市人民医院泌尿外三科,广东阳江529500

出　　处：《中国当代医药》2022年第6期172-175,共4页China Modern Medicine

基　　金：广东省阳江市医疗卫生类科技计划项目(SF2021062)。

摘　　要：目的研究早期康复训练联合气压治疗预防综合性重症监护病房(ICU)长期卧床高龄患者下肢深静脉血栓(DVT)形成的效果。方法选取2019年7月至2021年2月广东省阳江市人民医院综合性ICU收治的长期卧床高龄患者100例,采用随机数字表法分为对照组(50例)和试验组(50例)。对照组实施早期康复训练配合运用弹力袜,试验组实施早期康复训练联合气压治疗。比较两组患者的凝血指标、下肢周径、ICU住院天数、总住院天数、神经肌肉功能障碍及DVT发生率。结果干预前,两组患者活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、下肢周径比较,差异无统计学意义(P>0.05);干预后,两组患者的APTT、PT高于本组干预前,下肢周径短于本组干预前,差异有统计学意义(P<0.05);干预后,试验组的APTT、PT高于对照组,下肢周径短于对照组,差异有统计学意义(P<0.05)。干预后,试验组的ICU住院、总住院天数少于对照组,神经肌肉功能障碍、DVT发生率低于对照组,差异有统计学意义(P<0.05)。结论早期康复训练联合气压治疗可有效预防综合性ICU长期卧床高龄患者下肢DVT的发生,减轻下肢肿胀,降低神经功能障碍发生率,促进康复。Objective To study the effect of early rehabilitation training combined with pneumatic therapy and preventing the formation of limb deep vein thrombosis(DVT)in elderly bedridden patients with comprehensive intensive care unit(ICU).Methods A total of 100 long-term bedridden elderly patients admitted to the comprehensive ICU of Yangjiang People′s Hospital in Guangdong Province from July 2019 to February 2021 were selected and divided into a control group(50 cases)and a test group(50 cases)using the random number table method.The control group received early rehabilitation training combined with elastic stockings,and the test group received early rehabilitation training combined with air pressure therapy.The coagulation index,lower limb circumference,ICU hospitalization days,total hospitalization days,neuromuscular dysfunction and the incidence of DVT were compared between the two groups.Results Before the intervention,there were no significant differences between the two groups of activated partial thromboplastin time(APTT),prothrombin time(PT),and lower limb circumference(P>0.05).After the intervention,the APTT and PT of the two groups were higher than those of the group before the intervention,and the circumference of the lower limbs was shorter than that of the group before the intervention,the differences were statistically significant(P<0.05).After the intervention,the APTT and PT of the experimental group were higher than those of the control group,and the circumference of the lower limbs was shorter than that of the control group,the differences were statistically significant(P<0.05).After the intervention,the number of ICU hospitalizations and total length of stay in the experimental group were less than those of the control group,and the incidence of neuromuscular dysfunction and DVT were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Early rehabilitation training combined with pneumatic treatment can effectively prevent the occurrence of lower

关 键 词：重症监护病房 早期康复训练 气压治疗 下肢深静脉血栓 住院时间 

分 类 号：R713.42[医药卫生—妇产科学]