空气波压力疗法对脑卒中偏瘫患者患侧下肢深静脉血流动力学的影响  

Effect of air wave pressure therapy on deep venous hemodynamics of lower extremity in stroke patients with hemiplegia

作　　者：李鸿蕊 姜子薇 LI Hong-rui;JIANG Zi-wei(Department of Neurosurgery,the First Affiliated Hospital of China Medical University,Shenyang Liaoning 110000,China)

机构地区：[1]中国医科大学附属第一医院神经外科,辽宁沈阳110000

出　　处：《临床和实验医学杂志》2024年第2期145-149,共5页Journal of Clinical and Experimental Medicine

基　　金：辽宁省教育厅高校科研计划项目(编号:2021009031)。

摘　　要：目的观察空气波压力疗法对脑卒中偏瘫患者患侧下肢深静脉血流动力学的影响。方法回顾性选取2022年4月至2023年3月中国医科大学附属第一医院收治的90例脑卒中偏瘫患者,按治疗方案不同分为观察组与对照组,各45例。观察组予以常规治疗+空气波压力疗法,对照组予以常规治疗。两组均治疗4周后,比较两组患者患侧下肢深静脉血流动力学指标、下肢周径、凝血功能指标[纤维蛋白原(FIB)、凝血酶原时间(PT)、D-二聚体(D-D)]、下肢深静脉血栓(DVT)发生率。结果治疗后,观察组患者股静脉血流速、股静脉血流量分别为(26.12±2.25)、(15.32±0.42)cm/s,均明显高于对照组[(20.08±2.16)、(11.08±0.41)cm/s],反流时间为(0.33±0.08)s,明显短于对照组[(0.45±0.09)s],差异均有统计学意义(P<0.05)。治疗后,观察组髌骨上缘10 cm处、胫骨粗隆下侧10 cm处周径分别为(45.17±0.62)、(32.16±0.58)cm,显著均低于对照组[(50.39±0.59)、(34.78±0.56)cm],差异均有统计学意义(P<0.05)。治疗后,观察组FIB、D-D水平分别为(2.43±0.73)g/L、(0.53±0.15)μg/mL,均明显低于对照组[(2.43±0.73)g/L、(0.53±0.15)μg/mL],PT为(14.02±1.41)s,明显长于对照组[(12.33±1.35)s],差异均有统计学意义(P<0.05)。观察组患者下肢DVT发生率为2.22%,明显高于对照组(17.78%),差异有统计学意义(P<0.05)。结论对脑卒中偏瘫患者在常规抗凝治疗基础上结合空气波压力疗法治疗可改善患侧下肢深静脉血流动力学和凝血指标,有助于缩小患侧下肢周径,并可减少下肢DVT发生。Objective To observe the effect of air waves pressure therapy on hemodynamics of deep vein of lower extremity in stroke patients with hemiplegia.Methods From April 2022 to March 2023,90 patients with stroke hemiplegia admitted to the First Affiliated Hospital of China Medical University were retrospectively selected and divided into the observation group and the control group according to different treatment schemes,45 patients in each group.The observation group was given routine treatment and air waves pressure therapy,while the control group was given routine treatment.After 4 weeks of treatment,the indexes of hemodynamics,circumference of lower limbs,coagulation function[fibrinogen(FIB),prothrombin time(PT),D dimmer(D-D)]and the incidence of deep vein thrombosis(DVT)were compared between the two groups.Results After treatment,the femoral venous blood flow velocity and femoral venous blood flow in the observation group were(26.12±2.25),(15.32±0.42)cm/s,which were significantly higher than those in the control group[(20.08±2.16),(11.08±0.41)cm/s],and the reflux time was(0.33±0.08)s,which was significantly shorter than that in the control group[(0.45±0.09)s],the differences were statistically significant(P<0.05).After treatment,the circumference of the upper edge of patella and the circumference of the lower part of tibial tuberosity in the observation group were(45.17±0.62),(32.16±0.58)cm,which were significantly lower than those in the control group[(50.39±0.59),(34.78±0.56)cm],the differences were statistically significant(P<0.05).After treatment,the FIB and D-D in the observation group were(2.43±0.73)g/L,(0.53±0.15)μg/mL,which were significantly lower than those in the control group[(2.43±0.73)g/L,(0.53±0.15)μg/mL],the PT in the observation group was(14.02±1.41)s,which was significantly longer than that in the control group[(12.33±1.35)s],the differences were statistically significant(P<0.05).The incidence of DVT in the observation group was 2.22%,which was significantly higher than that in

关 键 词：脑卒中偏瘫 空气波压力疗法 下肢深静脉 血流动力学 

分 类 号：R743.3[医药卫生—神经病学与精神病学]