摘要
目的:观察气压泵治疗对重症医学科脊髓损伤患者下肢深静脉血栓形成(DVT)的防治效果及对睡眠质量的影响。方法:选取2021年1月至2022年4月福建省福州市第二总医院重症医学科收治的脊髓损伤患者68例作为研究对象,按照随机数字表法分为对照组和观察组,每组34例。对照组予以常规指导,观察组在对照组基础上加气压泵治疗。比较2组患者下肢DVT发生率、双下肿胀发生率及干预前、干预后7 d凝血功能指标血浆D-二聚体水平、腘静脉血流速度、匹兹堡睡眠质量指数(PSQI)评分。结果:观察组下肢DVT发生率5.9%(2/34),双下肢肿胀发生率17.6%(6/34),对照组下肢DVT发生率23.5%(8/34),双下肢肿胀发生率41.2%(14/34),观察组下肢DVT发生率、肿胀发生率均低于对照组(均P<0.05)。干预后7 d, 2组血浆D-二聚体水平均较本组干预前降低(P<0.05),且观察组均低于对照组(P<0.05)。干预后7 d, 2组腘静脉血流速度均较本组干预前升高(P<0.05),且观察组均高于对照组(P<0.05)。干预后7 d, 2组PSQI评分均较本组干预前降低(P<0.05),且观察组低于对照组(P<0.05)。结论:气压泵治疗可有改善重症医学科脊髓损伤患者下肢深静脉血流及血液高凝状态,降低患者下肢DVT发生率,改善睡眠质量。
Objective:To observe the effect of air pressure pump therapy on lower extremity deep vein thrombosis(DVT)and sleep quality in patients with spinal cord injury in Intensive Care department.Methods:Sixty-eight patients with spinal cord injury admitted to the Department of Intensive Care Medicine in Fuzhou Second General Hospital of Fujian Province from January 2021 to April 2022 were selected as the study objects,and were divided into observation group and control group according to random number table method,with 34 patients in each group.The control group was given routine guidance,and the observation group was treated with air pump on the basis of control group.The incidence of lower limb DVT formation,double swelling,plasma D-dimer level,popliteal vein blood flow velocity and Pittsburgh Sleep Quality index(PSQI)score before and 7 days after intervention were compared between the two groups.Results:The incidence of lower limb DVT in observation group was 5.9%(2/34),and the incidence of lower limb swelling was 17.6%(6/34);the incidence of lower limb DVT in control group was 23.5%(8/34),and the incidence of lower limb swelling was 41.2%(14/34).The incidence of lower limb DVT and swelling in observation group were lower than those in control group(P<0.05).After 7-day intervention,plasma D-dimer level in 2 groups was lower than that before intervention(P<0.05),and that of the observation group was lower than control group(P<0.05).After intervention,popliteal vein blood flow velocity in 2 groups was higher than that before intervention(P<0.05),and the observation group was higher than the control group(P<0.05).After intervention,PSQI scores in 2 groups were lower than before intervention(P<0.05),and the observation group was lower than the control group(P<0.05).Conclusion:Pneumatic pump therapy can improve the lower extremity deep vein blood flow and hypercoagulability of the patients with spinal cord injury,reduce the incidence of lower extremity DVT and improve sleep quality.
作者
许清美
XU Qingmei(Department of Intensive Care Unit,Fuzhou Second General Hospital,Fuzhou 350007,China)
出处
《世界睡眠医学杂志》
2024年第7期1429-1431,1435,共4页
World Journal of Sleep Medicine
基金
福建省创伤骨科急救与康复临床医学研究中心项目(2020Y2014)。
