血压计袖带辅助溶栓治疗下肢深静脉血栓的护理配合

Nursing co-operation with the sphygmomanometer cuff-assisted thrombolytic treatment for deep venous thrombosis of lower limb

目的探讨应用血压计袖带辅助溶栓治疗下肢深静脉血栓的护理方法,以降低并发症,达到最佳治疗效果。方法对2007年7月—2011年12月进行腔静脉滤器置入并溶栓治疗的106例下肢深静脉血栓的恶性肿瘤患者随机分组:实验组54例,静脉溶栓治疗同时在患肢扎血压计袖带,至液体输完后松开;对照组52例,只作患肢尿激酶静脉输液。结果实验组有效率高于对照组,差异有统计学意义(P<0.05);实验组的并发症明显低于对照组(P<0.01);实验组的平均住院天数和平均住院费用也明显低于对照组(P<0.05)。结论下肢深静脉血栓患者溶栓治疗中,采用血压计袖带充气加压辅助溶栓的方法效果明显、安全,减少并发症的发生,值得临床推广。

Objective To investigate the effective means of nursing care in the sphygmomanometer cuff-assisted thrombolytic treatment for deep vein thrombosis of lower limb in order to reduce complications and to achieve optimal therapeutic effect. Methods A total of 106 cases of patients with deep venous thrombosis of lower limb, who were encountered in authors＇ hospital during the period from Jul. 2007 to Dec. 2012, were enrolled in this study. The patients were randomly divided into study group （n = 54） and control group （n = 52）. For patients of study group, venous thrombolytic treatment was carried out together with the strapping of the diseased limb by using sphygmomanometer cuff. The sphygmomanometer cuff was not loosened until the infusion of thrombolytic solution was finished. For patient of control group, only venous infusion of urokinase was employed. The clinical results were compared between the two groups. Results The effective rate of the study group was significantly higher than that of the control group （P 〈 0.05）, while the occurrence of complieations in the study group was significantly lower than that in the control group （P 〈 0.01 ）. Both the average hospitalization days and the average hospitalization expenses of the study group were significantly lower than those of the control group （P 〈 0.05）. Conclusion For the treatment of deep venous thrombosis of lower limb, sphygmomanometer cuff-assisted thrombolytic method is very effective and safe with fewer complications. It is of value to employ this technique in clinical praetice.（J Intervent Radiol, 2013, 22： 075-077）