下肢静脉压测定在下肢深静脉血栓诊治中的临床应用
发布时间：2018-10-14 11:03
【摘要】：目的:探讨下肢静脉压在下肢深静脉血栓(DVT)诊治中的临床应用价值。方法:2013年7月至2014年6月期间,收集笔者所在医院住院并经彩色多普勒或下肢深静脉造影[11]检查确诊的患有单侧下肢DVT患者共230例,按照下列不同分类各自抽取30例DVT患者(共90例)作为研究对象,其中男37例,女53例;年龄为18~84岁,平均年龄59.48岁;按病期分为急性期30例,亚急性期30例,慢性期30例;按病理类型分为中央型30例,周围型30例,混合型30例。同时选取同期无下肢DVT的志愿者20例作为正常对照组,其中男9例,女11例,年龄为21~65岁,平均年龄38.7岁。测定2组纳入研究者的双下肢静态静脉压(P0)、动态静脉压(P00)、大小腿周径差和压力降低率(Pd)并进行比较分析。结果:病例组不同病期以及不同病理类型的P0、P00和大小腿周径差均高于正常对照组(P0.01),而Pd则低于正常对照组(P0.01)。病例组急性期的P0和P00均高于慢性期(P0.01);中央型的P00高于周围型和混合型(P0.01),中央型的Pd则低于混合型(P0.01)。正常对照组左右下肢的上述3项指标的差异均无统计学意义(P0.05);病例组不同病期以及不同病理类型者患肢的P0和P00均高于健肢,而Pd则均低于健肢(P0.01)。结论:下肢静脉压的测定可应用于临床对早期下肢DVT患者的检测,可作为临床对下肢DVT的治疗效果评估的客观指标,是一种简单实用的临床检测方法。
[Abstract]:Objective: to evaluate the clinical value of lower extremity venous pressure in (DVT) diagnosis and treatment of deep venous thrombosis of lower extremity. Methods: from July 2013 to June 2014, 230 patients with unilateral lower extremity DVT who were hospitalized in our hospital and diagnosed by color Doppler or deep venography of lower extremity [11] were collected. According to the following classification, 30 patients (90 cases) with DVT were selected as the study subjects, including 37 males and 53 females, the average age was 59.48 years, and was divided into acute stage (30 cases), subacute stage (30 cases) and chronic stage (30 cases). There were 30 cases of central type, 30 cases of peripheral type and 30 cases of mixed type according to pathological type. At the same time, 20 volunteers without lower extremity DVT were selected as normal control group, including 9 males and 11 females, aged 21 to 65 years, with an average age of 38.7 years. Static venous pressure (P0), dynamic venous pressure (P00), leg circumference difference and pressure reduction rate (Pd) were measured and compared between the two groups. Results: the P0 P00 and leg circumference difference of different pathological types in the case group were higher than those in the normal control group (P0.01), while the Pd was lower than that in the normal control group (P0.01). P0 and P00 in acute stage were higher than that in chronic stage (P0.01), P00 in central type was higher than that in peripheral type and mixed type (P0.01), and Pd in central type was lower than that in mixed type (P0.01). The P0 and P00 of patients with different disease stages and different pathological types were higher than that of healthy limbs, while Pd was lower than that of healthy limbs (P0.01). Conclusion: the determination of venous pressure of lower extremity can be used to detect early lower extremity DVT patients, and can be used as an objective index to evaluate the therapeutic effect of lower extremity DVT. It is a simple and practical clinical detection method.
【学位授予单位】：桂林医学院
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R654.4
本文编号：2270260
[Abstract]:Objective: to evaluate the clinical value of lower extremity venous pressure in (DVT) diagnosis and treatment of deep venous thrombosis of lower extremity. Methods: from July 2013 to June 2014, 230 patients with unilateral lower extremity DVT who were hospitalized in our hospital and diagnosed by color Doppler or deep venography of lower extremity [11] were collected. According to the following classification, 30 patients (90 cases) with DVT were selected as the study subjects, including 37 males and 53 females, the average age was 59.48 years, and was divided into acute stage (30 cases), subacute stage (30 cases) and chronic stage (30 cases). There were 30 cases of central type, 30 cases of peripheral type and 30 cases of mixed type according to pathological type. At the same time, 20 volunteers without lower extremity DVT were selected as normal control group, including 9 males and 11 females, aged 21 to 65 years, with an average age of 38.7 years. Static venous pressure (P0), dynamic venous pressure (P00), leg circumference difference and pressure reduction rate (Pd) were measured and compared between the two groups. Results: the P0 P00 and leg circumference difference of different pathological types in the case group were higher than those in the normal control group (P0.01), while the Pd was lower than that in the normal control group (P0.01). P0 and P00 in acute stage were higher than that in chronic stage (P0.01), P00 in central type was higher than that in peripheral type and mixed type (P0.01), and Pd in central type was lower than that in mixed type (P0.01). The P0 and P00 of patients with different disease stages and different pathological types were higher than that of healthy limbs, while Pd was lower than that of healthy limbs (P0.01). Conclusion: the determination of venous pressure of lower extremity can be used to detect early lower extremity DVT patients, and can be used as an objective index to evaluate the therapeutic effect of lower extremity DVT. It is a simple and practical clinical detection method.
【学位授予单位】：桂林医学院
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R654.4
【参考文献】
相关期刊论文 前1条
1 封华,沈蔚倩;全瓣环包术治疗下肢深静脉功能不全的术后护理[J];中华护理杂志;2003年01期
，本文编号：2270260
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