周梦烨,庄任,郭川,汪超兰,王庆雷,徐胜,钱雪,邓丽云.神经肌肉电刺激预防长期卧床老人深静脉血栓的血流动力学效应[J].中国康复,2024,39(9):539-543 |
神经肌肉电刺激预防长期卧床老人深静脉血栓的血流动力学效应 |
Hemodynamic effect of neuromuscular electrical stimulation on prevention of deep vein thrombosis in elderly long-term bedridden patients |
|
DOI:10.3870/zgkf.2024.09.006 |
中文关键词: 神经肌肉电刺激 长期卧床 深静脉血栓 血流动力学 |
英文关键词: neuromuscular electrical stimulation prolonged bed rest deep vein thrombosis hemodynamics |
基金项目:国家自然科学基金青年项目(82302882);常州市卫健委青年人才项目(QN202336) |
|
摘要点击次数: 498 |
全文下载次数: 486 |
中文摘要: |
 目的:探讨神经肌肉电刺激预防长期卧床老人下肢深静脉血栓(DVT)形成的血流动力学效应。方法:将40例长期卧床老人随机分为研究组和对照组,2组患者均给予常规预防深静脉血栓护理,研究组在常规护理的基础上予神经肌肉电刺激(NMES),对照组在常规护理的基础上予无效NMES。干预前以及干预14d后行双下肢彩色多普勒超声检查,测量双侧股总静脉和腘静脉的峰值流速和管腔直径,并计算静脉瘀滞指数;同时采集D-二聚体水平并测量双下肢小腿围度。结果:干预14d后,研究组双侧股总静脉峰值流速均较干预前增加(P<0.05),双侧股总静脉、腘静脉瘀滞指数均较干预前降低(P<0.05);对照组双侧股总静脉和腘静脉峰值流速、双侧股总静脉和腘静脉峰值管径均较干预前无统计学差异,左侧股总静脉、左侧腘静脉瘀滞指数较干预前增加(P<0.05)。组间差值结果比较显示,研究组双侧下肢股总静脉、右侧腘静脉的峰值流速及管径较对照组显著提高(P<0.05),双侧下肢股总静脉、腘静脉瘀滞指数较对照组显著下降(P<0.05)。结论:NMES可改善长期卧床老人下肢股总静脉、腘静脉的峰值流速,降低瘀滞指数,具有预防DVT形成的应用前景。 |
英文摘要: |
Objective: To investigate the hemodynamic effect of neuromuscular electrical stimulation (NMES) on preventing the formation of deep vein thrombosis (DVT) in the elderly patients with long-term bed rest. Methods: A total of 40 patients were randomly divided into the experimental group and the control group. Both groups were given routine care to prevent DVT. The experimental group received NMES on the basis of routine care, and the control group received sham-NMES on the basis of routine care. Before and after 14 days of the intervention, color Doppler ultrasound was performed to measure peak flow velocity and lumen diameter of the common femoral and popliteal veins bilaterally in both lower extremities. The venous stasis index was calculated according to the velocity and diameter. The D-dimer level was detected and the lower leg circumference was measured. Results: After 14 days of intervention, the peak flow velocity of bilateral common femoral vein and left popliteal vein increased, the left popliteal vein diameter decreased as compared with those before intervention (P<0.05), and the stasis index of bilateral common femoral vein and popliteal vein decreased as compared with that before intervention (P<0.05). In the control group, the peak flow velocity of bilateral common femoral vein and popliteal vein and the peak diameter of bilateral common femoral vein and popliteal vein had no statistically significant difference before and after intervention, and the stasis index of left common femoral vein and left popliteal vein after intervention increased as compared with that before intervention (P<0.05). The peak flow velocity and pipe diameter of bilateral common femoral vein and right popliteal vein in the study group were significantly increased as compared with those in the control group (P<0.05), and the stasis index of bilateral common femoral vein and popliteal vein in the study group was significantly decreased as compared with the control group (P<0.05). Conclusion: NMES can improve the peak flow velocity of the common femoral vein and popliteal vein of lower limbs and reduce the stasis index, which has the application prospect of preventing the formation of DVT. |
查看全文
下载PDF阅读器 HTML全文 |
关闭 |