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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
引用本文:张言涛,张显岚,戴携,黄弘伟,陈谦.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].现代生物医学进展,2011,11(14):2734-2736.
作者姓名:张言涛  张显岚  戴携  黄弘伟  陈谦
作者单位:1. 桂林医学院附属医院普外二科,广西桂林,541001
2. 长沙市第四医院急诊科,湖南长沙,410000
3. 桂林医学院附属医院肝胆外科,广西桂林,541001
基金项目:广西医疗卫生重点科研课题基金资助项目(重200883)
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.

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

Effects of Intermittent Pneumatic Compression Therapy on Hemorheology in Patients with Deep Vein Thrombosis of Lower Limbs
ZHANG Yan-tao,ZHANG Xian-lan,DAI Xie,HUANG Hong-wei,CHEN Qian.Effects of Intermittent Pneumatic Compression Therapy on Hemorheology in Patients with Deep Vein Thrombosis of Lower Limbs[J].Progress in Modern Biomedicine,2011,11(14):2734-2736.
Authors:ZHANG Yan-tao  ZHANG Xian-lan  DAI Xie  HUANG Hong-wei  CHEN Qian
Institution:ZHANG Yan-tao1,ZHANG Xian-lan1,DAI Xie2,HUANG Hong-wei1,CHEN Qian3(1 The Second General Surgery of The Affiliated Hospital of Guilin Medical College,541001,Guilin,China,2 The Emergency Department of The Forth Hospital of Chang Sha,410000,Changsha,3 The Hepato-biliary of The Affiliated Hospital of Guilin Medical College,China)
Abstract: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 Compres-sion(IPC).Observe...
Keywords:Deep vein thrombosis  Intermittent pneumatic compression  Hemorheology  Anticoagulant thrombolysis  
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