下肢深静脉血栓溶栓治疗中两种气囊压力带辅助应用的对照研究

发布时间：2018-10-14 17:42

【摘要】：目的探讨两种气囊压力带在辅助下肢深静脉血栓(DVT)溶栓治疗中阻断浅静脉的压力值范围,既能有效溶解血栓又能提高患者舒适度,为实施个体化、规范护理流程提供依据。方法 80例下肢DVT患者分为改良型气囊压力带组(研究组)和传统表式血压计袖带组(对照组),每组40例,两组均行输液泵持续泵入尿激酶经足背静脉顺行溶栓治疗,每日尿激酶用量相同。两组患者阻断下肢浅静脉血流的压力值在下肢静脉造影时测定,即下肢深静脉显影时的气囊压力值。对比分析两组患者的腿围消肿率、平均血栓清除率及舒适度等指标。结果研究组下肢浅静脉血流阻断压力为65~75 mm Hg,平均(70±5)mm Hg;对照组下肢浅静脉血流阻断压力值为60~85 mm Hg,平均值(70±10)mm Hg。两组患者的腿围消肿率、不同时间点的平均血栓清除率、舒适度评分均存在显著差异(P0.05),研究组均优于对照组。结论与传统表式血压计袖带相比,应用改良型气囊压力带阻断下肢浅静脉血流可以获得较好的溶栓疗效,且治疗过程中患者舒适度较高。
[Abstract]:Objective to explore the pressure range of two kinds of balloon pressure bands in (DVT) thrombolytic therapy of deep vein thrombosis of lower extremity, which can effectively dissolve thrombus and improve the comfort of patients, and provide basis for individualized and standardized nursing process. Methods Eighty patients with lower limb DVT were divided into two groups: modified balloon pressure band group (study group) and traditional sphygmomanometer cuff band group (control group). The daily dosage of urokinase was the same. The blood pressure of the two groups was measured during the venography of the lower extremity, that is, the balloon pressure of the deep vein of the lower extremity during the development of the deep vein of the lower extremity. The swelling rate, mean thrombus clearance rate and comfort were compared between the two groups. Results the mean occlusion pressure of superficial vein flow in the study group was 6575 mm Hg, (70 卤5) mm Hg;). In the control group, the mean value of the occlusion pressure of the superficial vein flow of the lower extremity was 60 mm Hg, (70 卤10) mm Hg.). The swelling rate of leg circumference, the average thrombus clearance rate and the comfort score of the two groups were significantly different (P0.05), and the study group was superior to the control group. Conclusion compared with the cuff band of the traditional surface sphygmomanometer, the modified balloon pressure band can be used to block the superficial venous blood flow of the lower extremity, and the therapeutic effect of thrombolytic therapy is better, and the comfort of the patients is higher during the treatment.
【作者单位】：南京医科大学附属南京医院(南京市第一医院)介入血管科;
【基金】：国家自然科学基金(81541061) 江苏省条件建设与民生科技专项项目(BL2014013) 南京市医学科技发展项目(ZKX15030) 南京市卫生局科技发展项目(YKK13105)
【分类号】：R473.5

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