早期运动护理对偏瘫脑梗塞患者下肢深静脉血栓形成的预防效果

目的：探究偏瘫脑梗塞患者行早期运动护理预防下肢深静脉血栓形成的效果。方法方便选取该院2015年1月—2016年1月收治的偏瘫脑梗塞90例患者临床资料进行回顾性分析，根据护理时所用不同护理方法分成两组，将行常规护理38例患者设为对照组，将在对照组护理基础上行早期运动护理52例患者设为观察组，对两组神经功能﹑运动功能﹑股静脉血流及疼痛﹑肿胀与下肢深静脉血栓发生情况进行对比。结果护理后两组NIHSS﹑Fugl-Meyer评分和血流峰速度均较护理前显著改善，且观察组护理后Fugl-Meyer评分(68.86±23.80)分比对照组(38.80±22.70)分优，血流峰速度(25.98±4.50)m/s比对照组(23.82±4.20)m/s优，比较差异均具有统计学意义(P<0.05)；观察组疼痛﹑肿胀与下肢深静脉血栓发生率5.77%﹑7.69%与1.92%均比对照组34.21%﹑39.47%与26.32%低，比较差异有统计学意义(P<0.05)。结论偏瘫脑梗塞患者行早期运动护理的效果显著，能够改善患者神经功能与股静脉血流，促进运动功能提高，可有效预防下肢深静脉血栓的形成，具有临床推广价值。

Preventive Effect of Early Exercise Nursing on Lower Limb Deep Venous Thrombosis in Patients with Hemiplegia after Cerebral Infarction

Objective To explore the patients with cerebral infarction hemiplegia early exercise nursing in prevention of deep venous thrombosis of the lower extremity effect. Methods Convenient selection 90 cases of clinical data of patients with hemiplegia after cerebral infarction in our hospital from January 2015 to 2016 January were retrospectively analyzed, according to the nursing used different nursing methods ,the patients were divided into two groups, the routine nursing care of 38 cases were set as control group. In the control group care based uplink early exercise nursing of 52 cases of patients as the observation group, the incidence of two groups of nerve function, motor function and femoral venous blood and pain, swelling, and lower extremity deep venous thrombosis of contrast. Results Nursing after two groups NIHSS, Fugl Meyer score and the blood flow peak velocity of the were compared with before treatment significantly improved and nursing in the observation group after the Fugl Meyer score (68.86±2.38) points than the control group (3.88±22.70) excellent, peak flow velocity (25.98±4.50) m/s than in the control group (23.82±4.20) m/s advantages, difference has statistical significance(P<0.05); observation group pain, swelling, and lower extremity deep vein thrombosis incidence of 5.77%, 7.69% and 1.92%were compared with the control group, 34.21%, 39.47% and 26.32% low, difference has statistical significance (P< 0.05). Conclusion The early exercise nursing in hemiplegic patients with cerebral infarction, the effect is significant to improve the neurological function in patients with femoral vein blood flow, promote the improvement of motor function can be effec-tive in preventing lower extremity deep vein thrombosis formation, which is worthy of clinical promotion.