早期气压治疗预防急性脑梗死溶栓患者下肢深静脉栓塞的应用研究

目的 观察早期气压治疗对急性脑梗死患者溶栓治疗后下肢深静脉栓塞形成的预防效果.方法 选取2012年1月至2015年6月我科应用阿替普酶溶栓治疗的急性脑梗死患者163例,对脑梗死患者溶栓后24 h进行评估,符合入选标准的患者按治疗方法分为对照组和观察组,对照组78例,观察组85例.对照组行溶栓后常规康复护理,观察组在常规康复护理基础上行肢体气压治疗,治疗14 d后比较2组患者下肢深静脉血栓的发生率.结果 观察组下肢深静脉血栓发生率(2.35%)低于对照组(10.26%)表示差异有统计学意义(P<0.01).结论 急性脑梗死溶栓患者早期行肢体气压治疗,能有效预防下肢深静脉血栓形成.

Application of early pressure therapy in the prevention of lower limb deep venous thrombosis in acute cerebral infarction patients with intravenous thrombolysis

Objective To observe preventive effects of early pressure therapy on the patients with cerebral infarction after in -travenous thrombolysis .Methods One hundred and sixty-three patients with acute cerebral infarction who received thrombolysis thera-py in the Department of Neurology from January 2012 to June 2015 were recruited as research subjects .Evaluation was made for the pa-tients with cerebral infarction , 24 hours after intravenous thrombolysis therapy .The patients who conformed to the inclusion criteria were randomly divided into the observation group (n=85) and the control group (n=78).Following venous thrombolysis therapy , the pa-tients in the control group received routine rehabilitation nursing , while the patients in the observation group were given limb pressure treatment in addition to routine rehabilitation nursing .Rates of lower limb venous thrombosis were compared between the 2 groups, 14 days after treatment .Results The incidence rate of deep venous thrombosis in the observation group (2.35%) was lower than that in the control group (10.26%) (P<0.01).Conclusion Early pressure therapy for the patients with acute cerebral infarction after intra-venous thrombolysis could effectively prevent the formation of deep venous thrombosis in the lower limbs .