|
|
|
| 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 |
| LIU Ruihua1 LIU Jiemei2 CHENG Zhiyuan1 |
1. Department of Critical Care Medicine, Yangjiang People′s Hospital
2. The Third Department of Urology, Yangjiang People′s Hospital |
|
|
|
|
Abstract 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 limb DVT in elderly patients with long-term bedridden patients, reduce lower limb swelling, reduce the incidence of neurological dysfunction, and promote rehabilitation.
|
|
|
|
|
|
| [1] |
陈亚静，韩贵俊.间歇性充气加压装置对危重患者下肢深静脉血栓形成的影响[J].河北医学，2018，24（2）：239-242.
|
| [2] |
沈永红，姚蓉，章月琴，等.优化中医护理方案在预防脑梗死急性期患者下肢深静脉血栓形成中的护理研究[J].护士进修杂志，2018，33（23）：2121-2124.
|
| [3] |
齐力.脑梗死患者下肢深静脉血栓形成的预防性和临床护理干预[J].中国地方病防治杂志，2019，34（1）：100-101.
|
| [4] |
盛娟娟，文丽娜，董然.弹力袜护理对冠状动脉旁路移植术后患者下肢深静脉血栓形成的影响[J].心肺血管病杂志，2019，38（11）：1158-1160.
|
| [5] |
杨光，王会芝，朱培静，等.气压治疗仪对剖宫产后下肢静脉血流动力学及深静脉血栓形成发生率的影响研究[J].中国医学装备，2020，17（3）：104-107.
|
| [6] |
侯玉芬，刘政.下肢深静脉血栓形成诊断及疗效标准（2015年修订稿）[J].中国中西医结合外科杂志，2016，22（5）：520-521.
|
| [7] |
范晓华，南登昆，刘燧.功能独立性评测的信度与效度的初步研究[J].中华物理医学与康复杂志，1998，20（3）：171.
|
| [8] |
吴瑞明，钱利，姚磊，等.气压治疗在预防RICU 患者下肢静脉血栓的运用效果研究[J].贵州医药，2019，43（2）279-281.
|
| [9] |
何静，王军，杨涛.老年下肢深静脉血栓形成患者临床特征分析[J].临床误诊误治，2018，31（7）：9-13.
|
| [10] |
杨新娟，金桃玲.护理专案对内科住院患者下肢深静脉血栓发生的预防效果[J].检验医学与临床，2018，15（19）：2963-2965.
|
| [11] |
阳慧.血栓预防策略对高危因素妇科围术期患者下肢深静脉血栓的预防效果研究[J].陕西医学杂志，2018，47（5）：580-582.
|
| [12] |
李培永，申东峰.下肢深静脉血栓治疗的研究进展[J].中国药物与临床，2019，19（12）：1999-2000.
|
| [13] |
陈静，倪朝民，吴鸣，等.早期康复对重症监护病房脑出血患者下肢静脉血栓形成的预防作用[J].中华物理医学与康复杂志，2020，42（3）：220-222.
|
| [14] |
王慧芳.针对性护理在行CRRT 治疗的ICU 患者中的应用效果分析[J].中国地方病防治杂志，2019，34（4）：458，460.
|
| [15] |
王卉洁，王琦，王念坚.不同气压治疗时间对预防重症长期卧床患者下肢深静脉血栓的效果研究[J].中国实用护理杂志，2019，35（24）：1898-1902.
|
| [16] |
李巍，王亮，张途，等.气压式血液循环驱动器对脑卒中下肢深静脉血栓的预防作用探讨[J].中国临床医生杂志，2019，47（7）：851-853.
|
| [17] |
叶瑶，王红霞，杨琼，等.气压治疗仪联合恒温毯在胸外科患者手术中的应用效果研究[J].中国药物与临床，2019，19（15）：2530-2533.
|
| [18] |
乔艳妮，杨洁.拜阿司匹灵联合气压治疗仪预防剖宫产后下肢静脉血栓形成的效果[J].海南医学，2019，30（15）：1956-1959.
|
|
|
|
