【摘要】：目的探討兩種氣囊壓力帶在輔助下肢深靜脈血栓(DVT)溶栓治療中阻斷淺靜脈的壓力值范圍,既能有效溶解血栓又能提高患者舒適度,為實(shí)施個(gè)體化、規(guī)范護(hù)理流程提供依據(jù)。方法 80例下肢DVT患者分為改良型氣囊壓力帶組(研究組)和傳統(tǒng)表式血壓計(jì)袖帶組(對(duì)照組),每組40例,兩組均行輸液泵持續(xù)泵入尿激酶經(jīng)足背靜脈順行溶栓治療,每日尿激酶用量相同。兩組患者阻斷下肢淺靜脈血流的壓力值在下肢靜脈造影時(shí)測(cè)定,即下肢深靜脈顯影時(shí)的氣囊壓力值。對(duì)比分析兩組患者的腿圍消腫率、平均血栓清除率及舒適度等指標(biāo)。結(jié)果研究組下肢淺靜脈血流阻斷壓力為65~75 mm Hg,平均(70±5)mm Hg;對(duì)照組下肢淺靜脈血流阻斷壓力值為60~85 mm Hg,平均值(70±10)mm Hg。兩組患者的腿圍消腫率、不同時(shí)間點(diǎn)的平均血栓清除率、舒適度評(píng)分均存在顯著差異(P0.05),研究組均優(yōu)于對(duì)照組。結(jié)論與傳統(tǒng)表式血壓計(jì)袖帶相比,應(yīng)用改良型氣囊壓力帶阻斷下肢淺靜脈血流可以獲得較好的溶栓療效,且治療過(guò)程中患者舒適度較高。
[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 鹵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 鹵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.
【作者單位】： 南京醫(yī)科大學(xué)附屬南京醫(yī)院(南京市第一醫(yī)院)介入血管科;
【基金】：國(guó)家自然科學(xué)基金(81541061) 江蘇省條件建設(shè)與民生科技專項(xiàng)項(xiàng)目(BL2014013) 南京市醫(yī)學(xué)科技發(fā)展項(xiàng)目(ZKX15030) 南京市衛(wèi)生局科技發(fā)展項(xiàng)目(YKK13105)
【分類號(hào)】：R473.5

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