间歇充气压力泵预防慢性阻塞性肺疾病患者下肢深静脉血栓形成的效果
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摘要
目的探讨间歇充气压力泵与低分子肝素联合应用在预防慢性阻塞性肺疾病患者下肢深静脉血栓形成中的效果。方法选取85例慢性阻塞性肺疾病患者,在入院时随机分成两组,对照组予常规护理及使用低分子肝素预防深静脉血栓形成,观察组在对照组的基础上联合应用间歇充气加压泵。结果对照组发生深静脉血栓形成6例(13.9%),观察组发生2例(4.76%),观察组深静脉血栓形成发生率低于对照组,差异有统计学意义(P<0.05)。结论间歇充气加压泵与低分子肝素联合应用可有效预防慢性阻塞性肺疾病下肢深静脉血栓的形成。
Objective To explore the effect of intermittent aeration pressure pump and low molecular heparin in preventing the formation of deep venous thrombosis of lower extremity in patients with chronic obstructive pulmonary disease.Methods 85 cases of patients with chronic obstructive pulmonary disease in the hospital is divided into two groups at random, the control to conventional nursing care and use of low molecular heparin to prevent deep vein thrombosis, On the basis of the control group, the observation group combined with the intermittent pneumatic pressure pump.Results In the control group, there were 6 cases of deep venous thrombosis(13.9%) and 2 cases(4.76%) in the observation group. The incidence of deep venous thrombosis in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05).Conclusion The combined application of intermittent air pressure pump and low molecular heparin can effectively prevent the formation of deep venous thrombosis of lower extremity of chronic obstructive pulmonary disease.
Objective To explore the effect of intermittent aeration pressure pump and low molecular heparin in preventing the formation of deep venous thrombosis of lower extremity in patients with chronic obstructive pulmonary disease.Methods 85 cases of patients with chronic obstructive pulmonary disease in the hospital is divided into two groups at random, the control to conventional nursing care and use of low molecular heparin to prevent deep vein thrombosis, On the basis of the control group, the observation group combined with the intermittent pneumatic pressure pump.Results In the control group, there were 6 cases of deep venous thrombosis(13.9%) and 2 cases(4.76%) in the observation group. The incidence of deep venous thrombosis in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05).Conclusion The combined application of intermittent air pressure pump and low molecular heparin can effectively prevent the formation of deep venous thrombosis of lower extremity of chronic obstructive pulmonary disease.
引文
[1] 陆再英,钟南山.内科学[M].第7版.北京:人民卫生出版社,2008:12.
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[4] 内科住院病人静脉血栓栓塞症预防的中国专家建议写作组.内科住院病人静脉血栓栓塞症预防的中国专家建议[J].中华结核和呼吸杂志,2009,32(1):3-6.
[5] Wells PS,Forgie MA,Rodger MA.Treatment of venous thromboembolism[J].JAMA,2014,19:717-728.
[6] VOELKEL NF,COOL CD.Pulmonary vascular involvement in chronic obstructive pulmonary disease[J].Eur Respir J Suppl,2003,46:28s-32s.
[7] FRAISSE F,HOLZAPFEL L,COULAND JM,et al.Nadroparin in the prevention of deep vein thrombosis in acute decompensated COPD.The Association of Non-University Affiliated Intensive Care Specialist Physicians ofFrance[J].Am J Respir Crit CareMed,2000,161(4 Ptl):1109-1114.
[8] 董咏梅,张若,陈聪,等.间歇性充气装置辅助预防下肢深静脉血栓形成的疗效观察与护理[J].护士进修杂志,2008,23(12):1092-1093.
[2] VOELKEL NF,COOL CD Pulmonary vascular involvement in chronic obstructive pulmonary disease[J].Eur Respir J Suppl,2003,46:28s-32s.
[3] 宋丽平,张会芬,宋利华,等.彩色多普勒超声对下肢深静脉血栓的临床诊断与应用价值[J].河北医科大学学报,2012,33(2):213-215.
[4] 内科住院病人静脉血栓栓塞症预防的中国专家建议写作组.内科住院病人静脉血栓栓塞症预防的中国专家建议[J].中华结核和呼吸杂志,2009,32(1):3-6.
[5] Wells PS,Forgie MA,Rodger MA.Treatment of venous thromboembolism[J].JAMA,2014,19:717-728.
[6] VOELKEL NF,COOL CD.Pulmonary vascular involvement in chronic obstructive pulmonary disease[J].Eur Respir J Suppl,2003,46:28s-32s.
[7] FRAISSE F,HOLZAPFEL L,COULAND JM,et al.Nadroparin in the prevention of deep vein thrombosis in acute decompensated COPD.The Association of Non-University Affiliated Intensive Care Specialist Physicians ofFrance[J].Am J Respir Crit CareMed,2000,161(4 Ptl):1109-1114.
[8] 董咏梅,张若,陈聪,等.间歇性充气装置辅助预防下肢深静脉血栓形成的疗效观察与护理[J].护士进修杂志,2008,23(12):1092-1093.