康复训练对脑卒中长期卧床老年患者并发症的影响

Effect of Traditional Chinese Medicine Manipulative Rehabilitation on Plasma D-Dimer in Long-term Bedridden Elderly Poststroke Patients

目的:探讨康复训练对脑卒中长期卧床老年患者并发症的影响。方法:选择首都医科大学附属北京康复医院2017年5月—2020年12月间收治的脑卒中后长期卧床的老年患者78例为研究对象,随机数字表法分为观察组和对照组各39例,观察组采用康复训练,对照组采用常规护理措施,治疗8周。评价两组治疗前及治疗后患者血浆D-二聚体、纤维蛋白原水平;评价下肢深静脉血栓形成(DVT)发生率。结果:两组治疗前血浆D-二聚体、纤维蛋白原水平比较差异无统计学意义(P>0.05);两组治疗后血浆D-二聚体、纤维蛋白原水平较治疗前降低,且观察组降低更明显,差异有统计学意义(P<0.05)。观察组DVT发生率为10.3%,对照组DVT发生率为28.2%,差异有统计学意义(P<0.05)。结论:康复训练可降低脑卒中长期卧床老年患者血浆D-二聚体、纤维蛋白原水平,减少DVT发生率,提示康复训练在脑卒中长期卧床老年患者静脉血栓栓塞症预防方面可能具有一定作用。

Objective:To explore the effect of rehabilitation training on the complications of elderly stroke patients with long-term bedridden.Methods:78 elderly patients with long-term bedridden after stroke from May 2017 to December 2020 were selected as the research objects.They were randomly divided into observation group and control group,with 39 cases in each group.The observation group was treated with rehabilitation training,the control group was treated with routine nursing measures for 8 weeks.The levels of plasma D-dimer and fibrinogen were evaluated before and after treatment,and the incidence of lower extremity deep venous thrombosis(DVT)was evaluated.Results:There was no statistically significant difference in plasma D-dimer and fibrinogen levels between the two groups before treatment(P>0.05).After treatment,the plasma D-dimer and fibrinogen levels of the two groups were lower than before treatment,and the decrease of the observation group was more obvious(P<0.05).The incidence of DVT was 10.3%in the observation group and 28.2%in the control group(P<0.05).Conclusion:Rehabilitation training can reduce the levels of plasma D-dimer and fibrinogen,and reduce the incidence of DVT.It is suggested that rehabilitation training may play a role in the prevention of venous thromboembolism in elderly patients with stroke who are bedridden for a long time.