首页|早期康复运动训练对脑出血患者下肢深静脉血栓的预防效果研究

早期康复运动训练对脑出血患者下肢深静脉血栓的预防效果研究

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目的 探讨早期康复运动训练对脑出血患者下肢深静脉血栓的预防效果。方法 60 例脑出血患者为研究对象,根据术后不同干预方式分为对照组(n=30)和观察组(n=30)。对照组患者术后采用常规预防护理,观察组患者术后基于常规预防护理基础上进行早期康复运动训练干预。比较两组患者干预前后下肢股静脉血流峰速度及平均流速,干预前后Barthel指数及Fugl-Meyer运动功能量表(FMA)评分,下肢深静脉血栓发生情况。结果 干预后,两组患者下肢股静脉血流峰速度、平均流速均较干预前改善,且观察组下肢股静脉血流峰速度为(50。29±5。71)cm/s、平均流速为(35。66±3。15)cm/s,均显著高于对照组,差异有统计学意义(P<0。05)。干预后,两组患者Barthel指数及FMA评分均较干预前升高,且观察组患者Barthel指数(72。15±6。28)分及FMA评分(88。12±5。55)分均高于对照组的(55。16±7。15)、(72。10±5。78)分,差异均具有统计学意义(P<0。05)。观察组术后发生下肢深静脉血栓 1 例(3。33%),对照组发生 7 例(23。33%),观察组术后下肢深静脉血栓发生率低于对照组(P<0。05)。结论 早期康复运动训练有效改善了脑出血患者下肢深静脉血流速度,改善了患者生活能力及运功功能,具有显著的下肢深静脉血栓预防和康复作用。
Study on prevention effect of early rehabilitation exercise training on lower limb deep vein thrombosis in patients with cerebral hemorrhage
Objective To explore the prevention effect of early rehabilitation exercise training on lower limb deep vein thrombosis in patients with cerebral hemorrhage.Methods 60 patients with cerebral hemorrhage were divided into a control group(n=30)and an observation group(n=30)according to different postoperative intervention modes.Patients in control group received routine preventive nursing after surgery,and patients in observation group received early rehabilitation exercise training intervention based on routine preventive nursing.The peak velocity and average velocity of lower limb femoral vein,Barthel index and Fugl-Meyer Assessment(FMA)score before and after intervention,and the incidence of deep vein thrombosis of the lower limbs were compared between the two groups.Results After intervention,the peak velocity and average velocity of lower limb femoral vein were improved in both groups compared with those before intervention;the peak velocity and average velocity of lower limb femoral vein in the observation group were(50.29±5.71)and(35.66±3.15)cm/s,which were significantly higher than those in the control group;the difference was statistically significant(P<0.05).After intervention,the Barthel index and FMA score in both groups were higher than those before intervention;the observation group had Barthel index of(72.15±6.28)points and FMA score of(88.12±5.55)points,which were higher than(55.16±7.15)and(72.10±5.78)points in the control group;the difference was significant(P<0.05).There were 1 case(3.33%)of lower limb deep vein thrombosis in the observation group,and 7 cases(23.33%)of lower limb deep vein thrombosis in the control group.The incidence of lower limb deep vein thrombosis in the observation group was lower than that in the control group(P<0.05).Conclusion Early rehabilitation exercise training can effectively improve the blood flow velocity of deep veins of lower limbs in patients with cerebral hemorrhage,improve the living ability and motor function,and have significant preventive and rehabilitation effects on lower limb deep vein thrombosis.

Rehabilitation exercise trainingLower limb deep vein thrombosisCerebral hemorrhagePrevention

周津虹、叶骞、林福花

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363700 平和县医院

康复运动训练 下肢深静脉血栓 脑出血 预防

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(6)
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