早期行双下肢气压波治疗对高血压脑出血患者预防下肢深静脉血栓的临床效果

Analysis of nursing by early both lower extremities barometric wave in prevention of deep venous thrombosis in patients with hypertensive cerebral hemorrhage

目的探索分析针对高血压脑出血患者实施早期双下肢气压波治疗对于预防其下肢深静脉血栓(DVT)的作用和效果。方法 78例高血压脑出血患者,随机分为对照组和研究组,各39例。对照组患者实施基础治疗及常规护理干预,研究组患者在对照组基础上实施早期双下肢气压波治疗。比较两组患者干预前后肢体周径及DAT发生率。结果干预后,研究组DVT发生率为0,低于对照组的5.13%,但差异无统计学意义(P>0.05);两组干预第1、7天肢体周径比较差异无统计学意义(P>0.05);干预第21天,研究组肢体周径为(34.13±2.03)mm,小于对照组的(36.56±1.96)mm,差异具有统计学意义(P<0.05)。两组患者治疗过程均未发生不良反应。结论针对高血压脑出血患者实施早期双下肢气压波治疗,可以有效预防DVT,有助于促进患者预后,值得推广应用。

Objective To explore and analyze effect by early both lower extremities barometric wave in prevention of deep venous thrombosis（DVT）in patients with hypertensive cerebral hemorrhage. Methods A total of 78 patients with hypertensive cerebral hemorrhage were randomly divided into control group and research group, with 39 cases in each group. The control group received basic therapy and conventional nursing intervention, and the research group also received additional early both lower extremities barometric wave for treatment to therapy in the control group. Comparison was made on limb circumference and incidence of DVT before and after intervention between the two groups. Results After intervention, the research group had lower incidence of DVT as 0 than 5.13% in the control group, while their difference had no statistical significance（P〈0.05）. The difference of limb circumference between the two groups in 1, 7 d of intervention had no statistical significance（P〈0.05）. In 21 d of intervention, the research group had lower limb circumference as（34.13±2.03）mm than（36.56±1.96）mm in the control group, and their difference had statistical significance（P〈0.05）. There was no case with adverse reactions during treatment in the two groups. Conclusion Implement of early both lower extremities barometric wave for patients with hypertensive cerebral hemorrhage can effectively prevent DVT and accelerate prognosis in patients. This method is worth promoting and applying.