摘要
目的探讨间歇性气压治疗(IPC)联合仿生物电治疗(NMES)预防人工髋关节置换术后下肢深静脉血栓形成(DVT)的疗效。方法选择接受人工髋关节置换术的126例患者为研究对象,根据术后下肢DVT预防措施分为NMES+IPC组(41例)、NMES组(43例)和IPC组(42例)。比较3组凝血指标、血液流变学指标、血流情况以及DVT发生率。结果NMES+IPC组术后凝血酶原时间(PT)、活化部分凝血酶原时间(APTT)和股静脉血流速度明显高于NMES组和IPC组(P<0.05),D-二聚体水平、红细胞沉降率、红细胞压积、纤维蛋白原水平、DVT发生率明显低于NMES组和IPC组(P<0.05)。结论人工髋关节置换术患者接受NMES联合IPC治疗,有利于提高下肢血流速度,改善全身凝血和血液流变学指标,明显降低DVT发生率。
Objective To investigate the clinical effect of intermittent pneumatic compression(IPC)combined with neuromuscular electrical stimulation(NMES)on the prevention of lower extremity deep vein thrombosis(DVT)after hip arthroplasty.Methods Overall,126 patients who underwent hip arthroplasty were divided into the NMES+IPC group(n=41),NMES group(n=43),and IPC group(n=42)according to the postoperative preventive measures used.The coagulation indices,hemorheological indices,blood flow,and incidence of DVT in the three groups were compared.Results Compared with the NMES and IPC groups,the postoperative prothrombin time,active partial prothrombin time,and femoral vein blood flow velocity were significantly higher in NMES+IPC group.Furthermore,the levels of D-dimer and fibrinogen,erythrocyte sedimentation rate,hematocrit,and the incidence of DVT were significantly lower in the NMES+IPC group than in the other groups(P<0.05).Conclusion NMES combined with IPC can increase the blood flow velocity in the lower limb,improve coagulation and hemorheological indices,and significantly reduce the incidence of DVT.
作者
马爽
王驰
崔岩
MA Shuang;WANG Chi;CUI Yan(Department of Neurosurgery,The Fourth Affiliated Hospital of China Medical University,Shenyang 110032,China)
出处
《中国医科大学学报》
CAS
北大核心
2023年第4期357-360,365,共5页
Journal of China Medical University
基金
辽宁省科学技术计划(2019-MS-391)
中国医科大学护理学院科研立项课题(2017HL-23)。
关键词
人工髋关节置换术
间歇性气压治疗
仿生物电治疗
深静脉血栓
hip arthroplasty
intermittent pneumatic compression
neuromuscular electrical stimulation
deep vein thrombosis
作者简介
通信作者:马爽(1984-),女,主管护师,硕士,E-mail:249444316@qq.com。
