空气压力波治疗仪联合体感诱发电位监测预防脊柱骨折术后下肢深静脉血栓形成的应用效果

目的:分析空气压力波治疗仪联合体感诱发电位（SEP）监测预防脊柱骨折术后下肢深静脉血栓（DVT）形成的应用效果。方法:选择99例脊柱骨折患者，按照随机数字表法分为观察组（n=50）和对照组（n=49）。对照组采用SEP的疗法，观察组采用空气压力波治疗仪联合SEP监测的疗法。在治疗期间观察与记录两组患者的DVT发生率、住院期间疼痛、肿胀情况，血液流变学指标、恢复正常活动的时间和住院时间、生活质量量表-74（GQOL-74）以及护理服务的满意度情况。结果:观察组下肢DVT形成、疼痛和肿胀的发生率均低于对照组（P<0.05）。观察组下肢肿胀程度明显小于对照组（P<0.05），下床时间、住院时间均短于对照组（P<0.05）。干预前，两组的相关血液流变学指标与GQOL-74评分比较，无明显统计学意义（P>0.05）；干预后，两组血浆粘度、全血低剪切粘度、高剪切粘度和红细胞聚集均下降，但是观察组以上指标明显低于对照组（P<0.05）。干预后，两组的GQOL-74评分均较干预前明显提高（P<0.05），但观察组显著高于对照组（P<0.01）。观察组患者的护理服务满意度明显高于对照组（P<0.05）。结论:空气压力波治疗仪联合SEP干预措施有助于改善手术治疗的脊柱骨折患者的高凝状态和预防下肢DVT形成。此外，它还能有效缓解下肢疼痛和肿胀，提高生活质量和患者满意度，值得临床推广。

Air pressure wave therapy instrument combined with somatosensory evoked potential monitoring to prevent deep vein thrombosis of lower limbs after spinal fracture surgery

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.