空气压力波对脑卒中后患者下肢功能的影响
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(大埔县人民医院,广东 大埔 514299)

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邓润杰,男,副主任医师,主要研究方向是神经内科。

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R 743.3

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Effect of Air Pressure Wave on Lower Limb Function after Stroke
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(Dapu County People's Hospital, Guangdong Dapu 514299)

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    摘要:

    〔摘 要〕 目的:探究空气压力波对脑卒中后患者血栓弹力图(TEG)参数、下肢深静脉血栓(DVT)发生率的影响。 方法:选取 2019 年 8 月至 2020 年 8 月大埔县人民医院收治的脑卒中患者 66 例,随机分为对照组和观察组,各 33 例。 对照组给予常规治疗,观察组在此基础上联合空气压力波治疗仪治疗。比较治疗前及治疗 2 周后两组患者下肢血流情况 (腿围周径、股静脉回流速度、反流时间)、TEG 参数〔凝血反应时间(R)、血凝块形成时间(K)、切线与水平线的夹角 (α 角)、最大振幅(MA)〕差异及治疗 2 周后两组 DVT 发生率差异。结果:治疗 2 周后,两组患者股静脉回流速度、 R 值较治疗前显著升高,且观察组显著高于同一时期对照组,差异具有统计学意义(P < 0.05);两组患者 K 值较治疗前 显著升高,差异具有统计学意义(P < 0.05),但同一时期组间比较无显著性差异(P > 0.05);两组患者腿围周径、反流 时间、α 角、MA 值均较治疗前显著下降,且观察组显著低于同一时期对照组,差异均具有统计学意义(P < 0.05);观察 组患者 DVT 发生率显著低于对照组,差异具有统计学意义(P < 0.05)。结论:采用空气压力波治疗仪对脑卒中患者进行 治疗效果良好,有利于改善患者凝血功能、促进下肢功能恢复的同时减少 DVT 发生风险,对其预后康复有利。

    Abstract:

    〔Abstract〕 Objective To investigate the effects of air pressure wave on thromboelastogram (TEG) parameters and incidence of lower extremity deep venous thrombosis (DVT) in patients with stroke. Methods 66 stroke patients admitted to Dapu County People's Hospital from August 2019 to August 2020 were selected and randomly divided into control group(n=33) and observation group(n=33). The control group was given conventional treatment, and the observation group was treated with air pressure wavetherapy instrument on this basis. The blood flow of lower limbs (leg circumference, femoral vein reflux velocity, reflux time), TEG parameters (coagulation reaction time (R), blood clot formation time (K), Angle between tangent line and horizontal line (α Angle), maximum amplitude (MA)) were compared between two groups before and after 2 weeks of treatment. The incidence of DVT was compared between the two groups after 2 weeks of treatment. Results After 2 weeks of treatment, the velocity and R value of femoral vein reflux in two groups were significantly increased compared with before treatment, and the observation group was significantly higher than the control group at the same time, the difference was statistically significant (P < 0.05). K value in two groups was significantly increased compared with before treatment, the difference was statistically significant (P < 0.05), but there was no significant difference in two groups in the same period (P > 0.05). Leg circumference diameter, reflux time, α Angle and MA values in two groups were significantly decreased compared with before treatment, and observation group was significantly lower than control group at the same time, the differences were statistically significant (P < 0.05). The incidence of DVT in observation group was significantly lower than that in control group, the difference was statistically significant (P < 0.05). Conclusion The use of air pressure wave therapy instrument for cerebral apoplexy patients has a good therapeutic effect, which is beneficial to improve the coagulation function of patients, promote the recovery of lower limb function and reduce the risk of DVT, which is beneficial to their prognosis and rehabilitation.

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  • 收稿日期:2021-06-18
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  • 在线发布日期: 2021-11-11
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