气压治疗仪联合行为护理在脑梗死偏瘫患者下肢深静脉血栓预防中的效果

Effect of Barometric Therapy Combined with Behavioral Nursing on Prevention of Lower Extremity Deep Venous Thrombosis in Patients with Cerebral Infarction Hemiplegia

目的探讨气压治疗仪联合行为护理在脑梗死偏瘫患者下肢深静脉血栓(DVT)预防中的应用价值。方法选择2019年6月至2020年12月绵阳市中心医院收治的98例脑梗死偏瘫患者,依据随机数字表法将其分为观察组(49例)和对照组(49例)。对照组采用行为护理,观察组在对照组基础上使用气压治疗仪,两组均干预4周,比较两组不同时点[干预前(T_(0))、干预2周后(T_(1))、干预4周后(T_(2))]股静脉血流峰速及干预期间DVT发生率。结果T_(1)、T_(2),两组股静脉血流峰速均高于T_(0),且观察组高于对照组,组间、时点、组间时点交互比较,差异有统计学意义(P<0.05)。观察组干预期间DVT发生率低于对照组,差异有统计学意义(P<0.05)。结论气压治疗仪联合行为护理用于脑梗死偏瘫患者中能有效提升股静脉血流峰速,降低DVT发生率。

Objective To explore the application value of barometric therapy combined with behavioral nursing in the prevention of lower extremity deep venous thrombosis(DVT)in patients with cerebral infarction hemiplegia.Methods Ninety-eight patients with cerebral infarction and hemiplegia admitted to Mianyang Central Hospital from June 2019 to December 2020 were selected and divided into observation group(n=49)and control group(n=49)according to random number table method.Behavior nursing was used in the control group,and barometric therapy apparatus was used in the observation group,both groups were treated for 4 weeks.The peak velocity of femoral vein blood flow and the incidence of DVT during the intervention were compared between the two groups at different time points[before intervention(T_(0)),2 weeks after intervention(T 1),4 weeks after intervention(T_(2))].Results T_(1)and T_(2),the peak velocity of femoral vein blood flow in both groups was higher than T0,and the observation group was higher than the control group,interaction comparison between groups,time points,and time points between groups,the differences were statistically significant(P<0.05).The incidence of DVT in the observation group was lower than that in the control group.the differences were statistically significant(P<0.05).Conclusion Barometric therapy combined with behavioral nursing for patients with cerebral infarction hemiplegia can effectively improve the peak velocity of femoral vein blood flow and reduce the incidence of DVT.