早期运动对脑出血病人下肢深静脉血栓形成的影响

目的]防止脑出血病人发生下肢深静脉血栓。方法]将102例脑出血病人随机分为观察组及对照组各51例，两组病人均给予常规护理，观察组除常规护理外，术后帮助病人早期进行下肢被动运动。测定两组病人术后6h血压、心率，彩色多普勒超声对两组病人术前、术后7d股静脉血流峰速度进行分析，观察是否有血栓形成。结果]观察组术后6h收缩压、舒张压、心率比较与对照组，差异均无统计学意义（P〉0．05）；两组病人术后7d血流峰速度比较，差异均有统计学意义（P〈0．05）；观察组下肢深静脉血栓发生率低于对照组（P〈0．05）。结论]早期辅助脑出血病人加强下肢被动运动并鼓励病人早日进行主动运动，可减少下肢深静脉血栓的形成。

Influence of early exercise on deep venous thrombosis of cerebral hemorrhage patients

Objective:To prevent deep venous thrombosis of lower limb in patients with cerebral hemorrhage.Methods:A total of 102 cases of cerebral hemorrhage patients were randomly divided into observation group and control group,51 cases in each,the patients in both groups received conventional care,in addition to routine care,the nurses help observation group patients early lower limb passive movement after operation.The blood pressure and heart rate of two groups of patients in postoperative 6 hours were determined,the emoral vein blood flow peak velocity was analyzed by color Doppler ultrasound before surgery and at 7th day after operation,and to observe whether thrombosis.Results:There was no statistical significant difference in postoperative 6h systolic blood pressure,diastolic blood pressure and heart rate between observation group and control group,there was statistical significant difference in emoral vein blood flow peak velocity on postoperative 7th day between observation group and control group(P<0.05);the incidence of lower limb deep venous thrombosis of observation group was lower than that of the control group(P<0.05).Conclusion: To help brain hemorrhage patients to strengthen passive movement of the lower limbs early,and encourage patients with early active movement can reduce the lower limb deep venous thrombosis.