| 张言涛1 张显岚1△ 戴携2 黄弘伟1 陈谦3.间歇性充气加压疗法对下肢深静脉血栓患者血液流变学的影响[J].,2011,11(14):2734-2736 |
| 间歇性充气加压疗法对下肢深静脉血栓患者血液流变学的影响 |
| Effects of Intermittent Pneumatic Compression Therapy on Hemorheologyin Patients with Deep Vein Thrombosis of Lower Limbs |
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| DOI： |
| 中文关键词: 下肢深静脉血栓 间歇性充气加压 血液流变学 抗凝溶栓 |
| 英文关键词: Deep vein thrombosis Intermittent pneumatic compression Hemorheology Anticoagulant thrombolysis |
| 基金项目:广西医疗卫生重点科研课题基金资助项目(重200883) |
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| 中文摘要: |
| 目的：观察间歇性充气加压疗法（intermittent pneumatic compression,IPC) 对下肢深静脉血栓形成（deep vein thrombosis of
lower limbs,DVT）患者的治疗效果，并从血液流变学方面探讨间歇性充气加压的作用机理。方法：2003 年3 月-2010 年9 月我科
收治的243 例下肢深静脉血栓患者，将其中42 例IPC 治疗病例定为B 组实验组，145 例单纯药物治疗病例中选取60 例定为A
组对照组。观察两组患者血液流变学指标和小腿肿胀消退情况的对比。结果：两组患者全血粘度、红细胞聚集指数、红细胞电泳时
间、红细胞变形性，在治疗第1 天较入院时无差异，组间无差异（P＞0.05），第3 天较入院时有差异（P＜0.05），组间第3 天有差异
（P＜0.05），两组患者下肢肿胀度均明显消退，但B 组肿胀消退速度明显快于对照组（P＜0.05）。结论：间歇性充气加压治疗仪可有
效改变血液流变学状态，改善血液高凝状态，有效缓解肢体肿胀症状，缩短住院时间。且不增加治疗难度，使用简单，治疗依从性
好。 |
| 英文摘要: |
| Objective: To observe intermittent pneumatic compression therapeutic apparatus (IPC) in the lower limbs of deep vein
thrombosis (DVT) patients, and from the therapeutic effect of hemarheology aspects discusses therapeutic effect mechanism. Methods:
From March 2003 to September 2010, 243 patients with DVT of lower limbs in our hospital, were double-blind randomized into 2
groups. Group A (60) received drug treatment only, besides, group B (42) received drug treatment and Intermittent Pneumatic Compression
(IPC). Observe two groups of the hemorrheologic indices and crus swelling of contrast. Results: Both groups whole blood viscosity,
plasma viscosity, erythrocyte aggregation index, erythrocyte electrophoresis time, the 1st day of treatment no significant difference when
compared with admission, no significant difference between groups (P> 0.05), there are differences on admission (P <0.05) and group
differences on the third day (P <0.05), two groups of patients were significantly lower limb swelling subsided, but the B group of the
swelling faster than the control group (P <0.05). Conclusions: Intermittent pneumatic compression therapeutic apparatus can effectively
alter hemorheology state, improve blood high pour-point state, effectively relieve body swelling symptoms, shorten the length of hospitalization.
And do not increase the cure difficulty, the use of simple, treatment adherence. |
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