空气波压力治疗仪对下肢深静脉血栓取栓术后肢体肿胀和血栓复发的干预效应

Interventional effect of compressible limb sleeve system on tumefaction and recurrence of thrombus following venous thrombectomy of deep venous thrombosis

为观察空气波压力治疗仪辅助治疗对下肢深静脉血栓取栓术后患肢肿胀和血栓复发的影响,选择2004-09/2005-07泸州医学院附属医院收治下肢深静脉血栓取栓术后患者62例,按随机原则分为实验组和对照组,对照组采用肢体术后常规护理,实验组在对照组基础上加空气波压力治疗仪辅助治疗(30min/次,1次/d,14d为1个疗程,连续2个疗程),观察两组患者治疗前后肢体周径,血栓复发率和患肢冷感评分。结果显示经28d治疗后,实验组患者大小腿周径缩小,冷感评分降低,与治疗前和对照组比较差异有显著性意义(P<0.01);且实验组血栓复发明显低于对照组(P<0.05)。提示空气波压力治疗仪能有效的减轻深静脉血栓取栓术后肢体肿胀和预防血栓复发。

To study the effect of compressible limb sleeve system on tumefaction of limbs and recurrence of thrombus in patients underwent venous thrombectomy of deep venous thrombosis （DVT）. Sixty-two patients underwent venous thrombectomy of DV-I＂ between September 2004 and July 2005 were selected from Affiliated Hospital of Luzhou Medical College, and then were randomly divided into the experimental group and the control group. Patients in the control group were given usual care after the surgery, while patients in the experimental group were treated by compressible limb sleeve system based on usual care （once a day and 30 minutes each time. 14 days were taken as one course, and there were totally 2 courses）. The circumference, recurrence rate of thrombus and warmth sensation of affected limb were observed before and after the treatment in both groups. Detection at 28 days after the treatment showed that the circumference of patients in the experimental group decreased, and the score of warmth sensation decreased. There were significant differences in comparison with those in the control group before the treatment （P 〈 0.01）. Moreover, the recurrence rate in the experimental group was remarkably lower than that in the control group （P 〈 0.05）. It suggests that compressible limb sleeve system can effectively ameliorate the tumefaction of limbs and prevent the recurrence of thrombus in patients following venous thrombectomy.