足底气压泵联合雷火灸对老年危重症DVT的预防应用研究

Application of foot sole pressure pump combined with thunder fire moxibustion for prevention of DVT in elderly patients with critical illness

目的:探讨间歇式足底气压泵压力治疗联合雷火灸对ICU老年危重症患者下肢静脉血栓(DVT)的预防应用效果。方法:选取2017年1月至2019年4月本院ICU收治的44例存在DVT高风险的老年危重症患者,随机分为对照组和观察组各22例。对照组给予ICU老年重症患者DVT常规护理干预,观察组在对照组治疗基础上应用间歇式足底气压泵压力治疗联合雷火灸干预以预防DVT的发生。干预2周,对比两组患者DVT特征性临床症状出现情况、凝血功能指标变化、患者舒适度和满意度。结果:干预后,观察组出现DVT特征性临床症状例数明显少于对照组(P<0.05);干预前,两组凝血指标比较无明显差异(P>0.05);干预后,观察组凝血指标中凝血酶原时间(PT)、活化部分凝血酶原时间(aPTT)、凝血酶时间(TT)相比对照组上调(P<0.05),观察组纤维蛋白原(FIB)和D二聚体(D-D)相比对照组下调(P<0.05);观察组患者舒适度明显优于对照组(P<0.05)。结论:间歇式足底气压泵压力治疗联合雷火灸干预可有效改善ICU老年重症患者DVT特征性临床症状,患者各项凝血指标情况倾向相对低凝,DVT发生风险得到有效降低,患者舒适度和耐受性增加,满意度提高。

Objective:To explore the preventive effect of intermittent foot-pressure pump pressure therapy combined with thunder-fire moxibustion on lower extremity venous thrombosis (DVT) in critically ill patients with ICU. Methods: Forty-four elderly patients with high risk of DVT who were admitted to our hospital from January 2017 to April 2019 were randomly divided into control group and observation group. The control group was given routine nursing intervention for DVT in elderly patients with ICU.The observation group was treated with intermittent foot-pressure pump pressure therapy combined with thunder-fire moxibustion intervention to prevent DVT. After 2 weeks of intervention, the characteristics of DVT characteristic clinical symptoms, changes in coagulation function, patient comfort and satisfaction were compared between the two groups.Results: After intervention, the number of clinical symptoms of DVT in the observation group was significantly lower than that of the control group ( P < 0.05). There was no significant difference in coagulation parameters between the two groups before intervention ( P > 0.05). After the intervention, the coagulation index in the observation group was coagulated. The zymogen time (PT), activated partial prothrombin time (aPTT), and thrombin time (TT) were up-regulated compared with the control group ( P < 0.05), and the observation group was fibrinogen (FIB) and D-dimer (DD).Compared with the control group ( P < 0.05);the comfort of the observation group was significantly better than the control group ( P < 0.05).Conclusion: Intermittent foot-pressure pump pressure therapy combined with thunder-fire moxibustion intervention can effectively improve the characteristic clinical symptoms of DVT in elderly ICU patients. The coagulation index of patients tends to be relatively low-coagulation, the risk of DVT is effectively reduced, patient comfort and tolerance Increase, satisfaction is improved.