中华现代护理杂志2024,Vol.30Issue(7) :950-953.DOI:10.3760/cma.j.cn115682-20230726-00201

智能型多功能下肢疾患康复治疗仪预防脑卒中偏瘫患者下肢深静脉血栓的效果

Effects of intelligent multifunctional rehabilitation instrument for lower limb diseases on preventing deep vein thrombosis in stroke patients with hemiplegia

李冰 贾汝福 王芝静 李海月 王翠婕 丁冕磊 黄涛 吴晶晶 李莺
中华现代护理杂志2024,Vol.30Issue(7) :950-953.DOI:10.3760/cma.j.cn115682-20230726-00201

智能型多功能下肢疾患康复治疗仪预防脑卒中偏瘫患者下肢深静脉血栓的效果

Effects of intelligent multifunctional rehabilitation instrument for lower limb diseases on preventing deep vein thrombosis in stroke patients with hemiplegia

李冰 1贾汝福 2王芝静 3李海月 3王翠婕 3丁冕磊 4黄涛 5吴晶晶 5李莺
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作者信息

  • 1. 沧州市中心医院脑科院区超声科,沧州 061001
  • 2. 沧州市中心医院脑科院区院办室,沧州 061001
  • 3. 沧州市中心医院脑科院区麻醉科,沧州 061001
  • 4. 沧州市中心医院脑科院区设备科,沧州 061001
  • 5. 沧州市中心医院脑科院区康复科,沧州 061001
  • 折叠

摘要

目的 探讨智能型多功能下肢疾患康复治疗仪对预防脑卒中偏瘫患者下肢深静脉血栓的效果。 方法 采用便利抽样法,于2022年9月—2023年9月选取沧州市中心医院神经内科、神经外科及康复科收治的121例脑卒中偏瘫患者为研究对象,采用随机数字表法将研究对象分为对照组(n=58)和观察组(n=63)。对照组给予标准药物治疗和常规康复护理,观察组在对照组基础上采用智能型多功能下肢疾患康复治疗仪治疗,干预时间均为4周。比较干预后两组患者的下肢临床症状(肿胀、疼痛、皮温、腓肠肌试验结果)、下肢深静脉血栓的发生情况。比较干预前后两组患者的血浆D-二聚体水平、股静脉血流速度及血流量。 结果 干预后,观察组患者的下肢临床症状(肿胀、疼痛、皮温升高、腓肠肌试验阳性结果)、下肢深静脉血栓的发生例数低于对照组(P<0.05);观察组患者的血浆D-二聚体水平低于对照组(P<0.05),股静脉血流速度、血流量高于对照组(P<0.05)。 结论 智能型多功能下肢疾患康复治疗仪可有效预防脑卒中偏瘫患者下肢深静脉血栓的发生。 Objective To explore the effectiveness of intelligent multifunctional rehabilitation instrument for lower limb diseases in preventing deep vein thrombosis in stroke patients with hemiplegia. Methods From September 2022 to September 2023, convenience sampling was used to select 121 stroke patients with hemiplegia admitted to the Department of Neurology, Neurosurgery, and Rehabilitation of Cangzhou Central Hospital as the study subject. The study subjects were divided into a control group (n=58) and an observation group (n=63) using the random number table method. The control group was treated with standard medication and routine rehabilitation nursing, while the observation group was treated with the intelligent multifunctional rehabilitation instrument for lower limb diseases on the basis of the control group. The intervention time was four weeks for both groups. This study compared the incidence of clinical symptoms of lower limbs (swelling, pain, skin temperature, gastrocnemius test results) and deep vein thrombosis in the lower limbs between two groups of patients after intervention. The plasma D-dimer levels, femoral vein blood flow velocity, and blood flow of the two groups of patients before and after intervention were also compared. Results After intervention, the number of cases of lower limb clinical symptoms (swelling, pain, elevated skin temperature, positive results of gastrocnemius muscle test) and deep vein thrombosis in the observation group was lower than that in the control group (P<0.05). In the observation group, the plasma D-dimer levels of patients were lower than those of the control group (P<0.05), and the femoral vein blood flow velocity and blood flow were higher than those of the control group (P<0.05) . Conclusions The intelligent multifunctional rehabilitation instrument for lower limb diseases can effectively prevent the occurrence of deep vein thrombosis in stroke patients with hemiplegia.

Abstract

Objective To explore the effectiveness of intelligent multifunctional rehabilitation instrument for lower limb diseases in preventing deep vein thrombosis in stroke patients with hemiplegia. Methods From September 2022 to September 2023, convenience sampling was used to select 121 stroke patients with hemiplegia admitted to the Department of Neurology, Neurosurgery, and Rehabilitation of Cangzhou Central Hospital as the study subject. The study subjects were divided into a control group (n=58) and an observation group (n=63) using the random number table method. The control group was treated with standard medication and routine rehabilitation nursing, while the observation group was treated with the intelligent multifunctional rehabilitation instrument for lower limb diseases on the basis of the control group. The intervention time was four weeks for both groups. This study compared the incidence of clinical symptoms of lower limbs (swelling, pain, skin temperature, gastrocnemius test results) and deep vein thrombosis in the lower limbs between two groups of patients after intervention. The plasma D-dimer levels, femoral vein blood flow velocity, and blood flow of the two groups of patients before and after intervention were also compared. Results After intervention, the number of cases of lower limb clinical symptoms (swelling, pain, elevated skin temperature, positive results of gastrocnemius muscle test) and deep vein thrombosis in the observation group was lower than that in the control group (P<0.05). In the observation group, the plasma D-dimer levels of patients were lower than those of the control group (P<0.05), and the femoral vein blood flow velocity and blood flow were higher than those of the control group (P<0.05) . Conclusions The intelligent multifunctional rehabilitation instrument for lower limb diseases can effectively prevent the occurrence of deep vein thrombosis in stroke patients with hemiplegia.

关键词

卒中/智能型多功能下肢疾患康复治疗仪/偏瘫/深静脉血栓

Key words

Stroke/Intelligent multifunctional rehabilitation instrument for lower limb diseases/Hemiplegia/Venous thrombosis

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基金项目

中华医学会杂志社2021-2022年护理学科研究课题(CMAPH-NRD2021065)

河北省卫健委2022年度医学科学研究课题计划(20220385)

出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
参考文献量19
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