[1]赖玲治,陈婷婷,白亚铃,等.气压治疗仪联合红外线照射预防重症患者下肢深静脉血栓[J].中国医学物理学杂志,2024,41(11):1415-1420.[doi:DOI:10.3969/j.issn.1005-202X.2024.11.014]
　LAI Lingzhi,CHEN Tingting,BAI Yaling,et al.Effectiveness of pneumatic compression therapy combined with infrared irradiation in preventing lower extremity deep vein thrombosis in critically ill patients[J].Chinese Journal of Medical Physics,2024,41(11):1415-1420.[doi:DOI:10.3969/j.issn.1005-202X.2024.11.014]
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气压治疗仪联合红外线照射预防重症患者下肢深静脉血栓()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
41卷
期数:
2024年第11期
页码:
1415-1420
栏目:
医学生物物理
出版日期:
2024-11-26

文章信息/Info

Title:
Effectiveness of pneumatic compression therapy combined with infrared irradiation in preventing lower extremity deep vein thrombosis in critically ill patients
文章编号:
1005-202X（2024）11-1415-06
作者:
赖玲治; 陈婷婷; 白亚铃; 李焕根
福建医科大学附属泉州第一医院重症医学科， 福建 泉州362000
Author(s):
LAI Lingzhi;  CHEN Tingting;  BAI Yaling;  LI Huangen
Intensive Care Unit, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou 362000, China
关键词:
深静脉血栓; 早期神经肌肉电刺激; 自制康复床上座椅疗法; 机械通气
Keywords:
Keywords: deep venous thrombosis early neuromuscular electrical stimulation self-made rehabilitation bed seat therapy mechanical ventilation
分类号:
R318；R473.74
DOI:
DOI:10.3969/j.issn.1005-202X.2024.11.014
文献标志码:
A
摘要:
目的：研究气压治疗仪联合红外线照射预防重症患者下肢深静脉血栓（DVT）的应用效果。方法：选择2021年1月~2023年1月福建医科大学附属泉州第一医院重症监护室患者150例，将其分为对照组和观察组各75例。对照组采用常规康复措施结合长筒靴型间断气压治疗仪行间歇充气加压疗法，观察组在对照组的基础上联合生物信息反馈红外线治疗仪疗法。记录两组患者的DVT发生率、肿痛减轻平均时间、肿痛消失平均时间、总住院时间、下肢血流动力学指标、凝血与D-二聚体指标、肿痛复发率、康复满意度及疗效情况。结果：在出院3个月后，观察组出院后肿痛复发率（2/75）低于对照组（8/75）（2.67% vs 10.66%, P<0.05）。干预14 d后，两组下肢深静脉血流速度、血液峰速度较干预前上升（P<0.05）；观察组的下肢深静脉血流速度、血液峰速度均大于对照组（P<0.05）。干预14 d后，两组凝血指标凝血酶原时间（PT）、凝血酶时间（TT）、下肢纤维蛋白原（FIB）和D-二聚体水平较干预前降低（P<0.05）；观察组的凝血指标PT、TT均短于对照组（P<0.05），FIB和D-二聚体水平均低于对照组（P<0.05）。观察组的肿痛减轻平均时间、肿痛消失平均时间、总住院时间均短于对照组（P<0.05），DVT发生率低于对照组（P<0.05）。观察组患者干预14 d的总有效率（73/75）高于对照组的总有效率（66/75）（97.33% vs 88.00%, P<0.05）。出院时，观察组的满意度高于对照组的满意度（96.00% vs 85.34%, P<0.05）。结论：长筒靴型间断气压治疗仪行间歇充气加压疗法联合生物信息反馈红外线治疗仪疗法可以缩短重症患者的肿痛减轻平均时间、肿痛消失平均时间、总住院时间，增强下肢血流动力学，改善凝血与D-二聚体水平，提高康复满意度与临床疗效，值得临床推广。
Abstract:
Abstract: Objective To explore the preventive effect of pneumatic compression therapy combined with infrared irradiation against lower extremity deep vein thrombosis (DVT) in critically ill patients. Methods A total of 150 critically ill patients from January 2021 to January 2023 in the Intensive Care Unit, Quanzhou First Hospital Affiliated to Fujian Medical University were selected and divided into control group and observation group, with 75 cases in each group. The control group patients were treated with conventional rehabilitation measures combined with the boot-type intermittent pneumatic compression therapy device for intermittent inflation and compression therapy, while the observation group patients received the bioinformatic feedback infrared therapy besides the treatment in control group. The incidence of DVT, the average time for swelling and pain reduction, the average time for swelling and pain disappearance, total hospitalization time, the hemodynamic indexes of the lower extremities, coagulation indexes, D-dimer, the recurrence rate of swelling and pain, satisfaction with the rehabilitation, and therapeutic efficacy were recorded. Results After 3 months of discharge, the rate of post-discharge swelling and pain recurrence in observation group was 2.67% (2/75), obviously lower than 10.66% (8/75) in control group (P<0.05). After 14 days of intervention, the lower extremity deep vein blood flow velocity and peak blood velocity of the two groups increased significantly as compared with those before intervention (P<0.05), and those were greater in observation group than in control group (P<0.05). After 14 days of intervention, the coagulation indexes (PT, TT, FIB) and D-dimer level were significantly lower or shorter in both groups as compared with those before intervention (P<0.05) and observation group had shorter PT and TT, and lower levels of FIB and D-dimer than control group (P<0.05). The average time for swelling and pain reduction, the average time for swelling and pain disappearance, and the total hospitalization time were shorter and the incidence of DVT was obviously lower in observation group as compared with control group (P<0.05). The overall response rates of 14-day intervention in observation group vs control group were 97.33% (73/75) vs 88.00% (66/75) (P<0.05). At the discharge, the satisfaction rates in observation group vs control group were 96.00% vs 85.34% (P<0.05). Conclusion The combination of bioinformatic feedback infrared therapy and boot-type intermittent pneumatic compression therapy device for intermittent inflation and compression therapy can shorten the average time for swelling and pain reduction, the average time for swelling and pain disappearance and the total hospitalization time, enhance the hemodynamics of the lower extremities, improve the coagulation function and D-dimer level, and improve the satisfaction with the rehabilitation and clinical efficacy, worthy of clinical promotion.

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备注/Memo

备注/Memo:
【收稿日期】2024-07-11 【基金项目】福建省自然科学基金（2023J011779） 【作者简介】赖玲治，主管护师，研究方向：重症护理，E-mail: jiangqun1984@yeah.net 【通信作者】李焕根，副主任医师，研究方向：腹部重症、重症康复、重症创伤，E-mail: wangliwangli150@163.com
更新日期/Last Update: 2024-11-26