持续被动活动预防骨折术后深静脉血栓形成的疗效评价.pdfVIP

中国中医急症 2014 年2 月第 23 卷第 2 期 JETCM. Feb. 2014 ,Vol. 23 ,No.2 -315 一 ·临床观察· 持续被动活动预防骨折术后深静脉血栓形成 的疗效评价* 占紫龙艾江平丰景斌罗贤红王佳斌A 余德、涛邢祯全陈希跃姚震马丽辉 (海南省三亚市人民医院，海南三亚 572ω0) 中图分类号:R274.1 文献标志码:B 文章编号:1∞4-745X(2014)02-0315-03 doi: 1O.3969/j .issn.l∞4-745X.20 14.02.054 [摘要]目的观察下肢骨折术后早期持续被动活动功能锻炼对预防深静脉血栓形成的有效性。方法选择下 肢骨折手术患者 60 例，随机分为治疗组和对照组各 30 例，术前彩色超声多普勒证实双下肢无深静脉血栓形 成。手术后对照组常规预防性使用抗生素，行下肢肌肉的等张收缩以及躁关节和趾间关节主动屈、伸练习;治 疗组在对照组基础上，手术后第 2 日应用持续被动锻炼(CPM)治疗仪，观察血栓发生率。结果治疗组元 1 例 形成深静脉血栓，对照组深静脉血栓形成 6 例。治疗组明显优于对照组(P0.05)。结论下肢骨折术后早期 进行持续被动结合间歇主动规律的功能锻炼可有效预防深静脉血栓形成。 [关键词1 深静脉血栓形成 下肢骨折术后 功能锻炼 Curative Effect Eva1uation of Continuous Pωsive Activities to Prevent Fractures of Pωtoperative， Deep Vein Thrombosis ZHAN Zi-long ,AI liang-ping ,FENG ling-bin. Peoples Hosp ita1 01 Sanya ,Hainan ,Sanya 572∞O ， China [Abstract] Objective: To explore the validity of lower extremity fracture patients early posωperative Continuous Passive Motion (CPM)in the prevention of deep vein thrombosis (DVT). Methods: Sixty patients undergoing or- thopedic surge可 were randomly divided into treatment group and control group. 30 patients in each 伊up were examined with color doppler imaging. It was confirmed that these patients werent suffered from DVT before surgery. After surgery ,antibiotics was applied and both isotonic contraction of lower limb muscles and active flex- ing and stretching exercises of ankle and tOe joints we陀 done in control group. Besides control groups therapy , CPM was used in treatment group the next day after the operation. The incidence of thrombosis was recorded in each group. Results: None of patients in treatment group suffered from deep vein thrombosis ,while 6 patients suffered from that in control grou