中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
6期
805-807
,共3页
脑血管意外%静脉血栓形成%超声检查,多普勒,彩色%气体压缩装置
腦血管意外%靜脈血栓形成%超聲檢查,多普勒,綵色%氣體壓縮裝置
뇌혈관의외%정맥혈전형성%초성검사,다보륵,채색%기체압축장치
Cerebrovascular accident%Venous thrombosis%Ultrasounography,doppler,color%Pneumatic compression devices
目的 探讨空气压力波对脑卒中患者下肢深静脉血栓形成的预防作用及彩色多普勒超声(CDUS)技术的应用价值.方法 72例脑卒中患者按随机数字表法分为观察组(37例)和对照组(35例),对照组予常规护理与药物、康复治疗;观察组加用空气压力波治疗,疗程15 d.治疗前后行下肢静脉CDUS观察深静脉血栓(DVT)形成及血流动力学变化,并与X线静脉造影检查对照.结果 观察组DVT发生率显著低于对照组(2.7％与20.0％,x2=5.449,P＜0.05).治疗前后比较,观察组股、胭静脉血流速度和平均反流时间差异均有统计学意义(t=8.503、4.254、8.587、2.062,,均P＜0.05);而对照组仅胭静脉血流速度差异有统计学意义(t=6.895、2.116、4.169,均P＜0.05).与X线血管造影比较,CDUS诊断8例DVT均相符,但对照组漏诊1例.结论 空气压力波能有效减少脑卒中患者DVT发生.CDUS能准确诊断DVT形成,且能了解血管内血流动力学变化,对监测DVT防治效果具有重要的临床价值.
目的 探討空氣壓力波對腦卒中患者下肢深靜脈血栓形成的預防作用及綵色多普勒超聲(CDUS)技術的應用價值.方法 72例腦卒中患者按隨機數字錶法分為觀察組(37例)和對照組(35例),對照組予常規護理與藥物、康複治療;觀察組加用空氣壓力波治療,療程15 d.治療前後行下肢靜脈CDUS觀察深靜脈血栓(DVT)形成及血流動力學變化,併與X線靜脈造影檢查對照.結果 觀察組DVT髮生率顯著低于對照組(2.7％與20.0％,x2=5.449,P＜0.05).治療前後比較,觀察組股、胭靜脈血流速度和平均反流時間差異均有統計學意義(t=8.503、4.254、8.587、2.062,,均P＜0.05);而對照組僅胭靜脈血流速度差異有統計學意義(t=6.895、2.116、4.169,均P＜0.05).與X線血管造影比較,CDUS診斷8例DVT均相符,但對照組漏診1例.結論 空氣壓力波能有效減少腦卒中患者DVT髮生.CDUS能準確診斷DVT形成,且能瞭解血管內血流動力學變化,對鑑測DVT防治效果具有重要的臨床價值.
목적 탐토공기압력파대뇌졸중환자하지심정맥혈전형성적예방작용급채색다보륵초성(CDUS)기술적응용개치.방법 72례뇌졸중환자안수궤수자표법분위관찰조(37례)화대조조(35례),대조조여상규호리여약물、강복치료;관찰조가용공기압력파치료,료정15 d.치료전후행하지정맥CDUS관찰심정맥혈전(DVT)형성급혈류동역학변화,병여X선정맥조영검사대조.결과 관찰조DVT발생솔현저저우대조조(2.7％여20.0％,x2=5.449,P＜0.05).치료전후비교,관찰조고、연정맥혈류속도화평균반류시간차이균유통계학의의(t=8.503、4.254、8.587、2.062,,균P＜0.05);이대조조부연정맥혈류속도차이유통계학의의(t=6.895、2.116、4.169,균P＜0.05).여X선혈관조영비교,CDUS진단8례DVT균상부,단대조조루진1례.결론 공기압력파능유효감소뇌졸중환자DVT발생.CDUS능준학진단DVT형성,차능료해혈관내혈류동역학변화,대감측DVT방치효과구유중요적림상개치.
Objective To explore the effect of air pressure wave on the prevention of lower limb deep venous thrombosis in patients with cerebral stroke and the application value of color Doppler ultrasound (CDUS).Methods 72 stroke patients were randomly divided into experimental group (n =37) and control group (n =35) by random digits table.The control group received routine nursing,conventional and rehabilitation therapy.The experimental group was treated by the air pressure wave for 15 days on the basis of the control group.DVT formation of lower extremities and hemodynamic changes before and after treatment was observed by CDUS,and the results were compared with the X-ray phlebography examination results.Results CDUS displayed the incidence rate of DVT in the experimental group was significantly lower than that in the control group (2.7％ vs 20.0％,x2 =5.449,P ＜0.05).The changes of blood flow velocity and the average reflux time of femoral,popliteal vein in the experimental group had significant differences between before and after treatment (t =8.503,4.254,8.587,2.062,all P ＜ 0.05) ;and in the control group,only popliteal vein blood flow velocity had statistically significant difference (t =6.895,2.116,4.169,all P ＜ 0.05).Compared with the X-ray angiography,8 cases of DVT diagnosed by CDUS were consistent,but 1 case of DVT in the control group was missed diagnosis.Conclusion Air pressure wave can effectively reduce the occurrence of DVT in patients with cerebral stroke.CDUS can accurately diagnose the DVT formation,and can help to understand the hemodynamic change,it has important clinical value for monitoring the preventive effect of DVT.
