Air pressure wave therapy instrument combined with somatosensory evoked potential monitoring to prevent deep vein thrombosis of lower limbs after spinal fracture surgery(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2021年第12期
- Page:
- 1554-1559
- Research Field:
- 医学生物物理
- Publishing date:
Info
- Title:
- Air pressure wave therapy instrument combined with somatosensory evoked potential monitoring to prevent deep vein thrombosis of lower limbs after spinal fracture surgery
- Author(s):
- PAN Yuqin; TAO Ting; WU Ye
- South Hospital of the First Peoples Hospital Affiliated to Shanghai Jiaotong University, Shanghai 201620, China
- Keywords:
- Keywords: spinal fracture deep vein thrombosis air pressure wave therapy instrument somatosensory evoked potential lower limb
- PACS:
- R319；R683.42
- DOI:
- DOI:10.3969/j.issn.1005-202X.2021.12.018
- Abstract:
- Abstract: Objective To analyze the application effect of air pressure wave therapy instrument combined with somatosensory evoked potential (SEP) monitoring to prevent deep vein thrombosis (DVT) of lower limbs after spinal fracture surgery. Methods A total of 99 patients with spinal fractures were randomly divided into observation group (n=50) and control group (n=49). The patients in control group were treated with SEP monitoring, while those in observation group were treated with air pressure wave therapy combined with SEP monitoring. The incidences of DVT, pain and swelling during hospitalization, and blood rheology indicators, time to return to normal activities, hospital stay, generic quality of life inventory-74 (GQOL-74), satisfaction with nursing service were recorded. Results Compared with control group, observation group had lower incidences of DVT, pain and swelling of lower limbs (P<0.05), milder lower limbs swelling (P<0.05), and shorter time to get out of bed and hospital stay (P<0.05). Before the intervention, there was no statistical difference between two groups in related blood rheology indicators and GQOL-74 score (P>0.05). After the intervention, the plasma viscosity, whole blood low-shear viscosity, high-shear viscosity and EA were decreased in both two groups, and the above indicators in observation group were significantly lower than those in control group (P<0.05). The GQOL-74 score after the intervention in two groups were significantly higher than those before the intervention (P<0.05), and the GQOL-74 score in observation group was significantly higher than that in control group (P<0.01). The satisfaction degree of nursing service in observation group was also significantly higher than that in control group (P<0.05). Conclusion Air pressure wave therapy instrument combined with SEP intervention is worthy of clinical promotion for it can not only improve the hypercoagulable state of patients with spine fractures treated by surgery and prevent DVT of the lower limbs, but also effectively relieve pain and swelling of the lower limbs and improve the quality of life and patient satisfaction.
Last Update: 2021-12-24