踏车运动联合肢体气压治疗对危重症患者下肢静脉血流影响的临床研究

Effect of Treadmill Exercise Combined with Limb Pressure on Venous Blood Flow in Lower Extremities of Critically Ill Patients

目的探讨踏车运动联合肢体气压治疗对危重症卧床患者下肢静脉血流的影响。方法选择2017年8月至2018年2月本科收治的230例危重症卧床患者,按入院顺序随机分为对照组和干预组,每组115例。两组患者均给予常规治疗护理,干预组在此基础上给予踏车运动联合肢体气压治疗,比较两组患者股静脉血流速度变化以及血流速回到运动前水平所需的时间。结果两组下肢深静脉血栓发生率差异无统计学意义(P> 0.05);干预组股静脉平均血流速显著高于对照组(P <0.05);血流速回到运动前水平所需时间显著低于对照组(P <0.05)。结论踏车运动联合肢体气压治疗可以明显降低危重症卧床患者下肢静脉血栓的发生率,提高股静脉平均血流速,有利于血液循环加速,值得临床应用。

Objective To investigate the effect of treadmill exercise combined with limb pressure on the venous blood flow in the lower extremities of critically ill bedridden patients. Methods A total of 230 critically ill bed-ridden patients admitted to our hospital from August 2017 to February 2018 were randomly divided into control group and intervention group according to the order of hospital admission, with 115 cases in each group. The two groups of patients were given routine care and nursing intervention group on the basis of treadmill exercise combined with limb pressure treatment, the two groups were compared femoral venous flow velocity changes and blood flow velocity back to pre-exercise level time required. Results There was no significant difference in the incidence of deep venous thrombosis between the two groups (P >0.05). The average blood flow velocity of the femoral vein in the intervention group was significantly higher than that in the control group (P <0.05) Significantly lower than the control group (P <0.05). Conclusions Treadmill exercise combined with barotrauma treatment can significantly reduce the incidence of lower extremity venous thrombosis in critically ill bedridden patients and improve the average blood flow velocity of the femoral vein, which is good for accelerating blood circulation and is worthy of clinical application.