双下肢运动疗法对预防瘫痪患者下肢深静脉血栓形成的效果评价

The evaluation of both lower extremities exercise therapy on the prevention of paralyzed patients with deep vein thrombosis

目的探讨双下肢运动疗法对预防下肢深静脉血栓形成（deepvenousthrombosis，DVT）的临床效果。方法采用随机分组的原则，按随机数字表法将200例脑血管疾病致肢体瘫痪的患者分为实验组和对照组各100例，实验组除给予脑血管疾病致肢体瘫痪的常规护理外，还实施双下肢运动疗法，对照组给予脑血管疾病致肢体瘫痪的常规护理及由护理人员进行简单的术后活动健康教育。分别在干预前及干预后1个月统计2组下肢深静脉血栓的发生情况。结果在干预后1个月实验组下肢深静脉血栓发生率明显低于对照组，差异有统计学意义。结论双下肢运动疗法能提高下肢静脉血流速度，安全、有效地预防脑血管疾病致肢体瘫痪患者下肢DVT的发生。

Objective To explore the clinical effect of both lower extremities exercise therapy on the prevention of deep vein thrombosis. Methods According to the randomized principal, 200 cases of patients with limb paralysis caused by cerebrovascular disease were divided into the experimental group and the control group by random number table, and each group contained 100 cases. The experimental group was given both lower extremities exercise therapy in addition to routine care of limbs paralysis caused by cerebrovascular diseases. The control group received routine care and simple postoperative activity health education by nurses. The occurrence of deep venous thrombosis before the intervention and one month after intervention was evaluated in two groups. Results The incidence of deep vein thrombosis in the ex- perimental group after intervention one month was lowered more significantly than that in the control group. Conclusions Both lower extremities exercise therapy can improve lower extremity venous blood flow velocity, and safely and effectively prevent the occurrence of DVT of patients with limb paralysis caused by cerebrovascular disease.