中国康复2013，Vol.28Issue(2)：117-119,3.DOI:10.3870/zgkf.2013.02.012
早期功能训练对脑卒中急性下肢深静脉血栓形成的影响
Effect of early functional training on acute deep venous thrombosis of patients with stroke
刘洁 1刘彤 1万勇 1邹选民 1刘庆庆1
作者信息
摘要
Abstract
Objective:To study the differences in the lower limb functions and risks of pulmonary infarction of early rehabilitation therapy vs. bed immobilization for acute deep venous thrombosis (ADVT) after stroke. Methods:Sixty patients with ADVT after stroke admitted to hospital were randomly divided into normal control group and experimental group (n = 30 each),all receiving the routine therapy. The normal control group underwent the bed immobilization, elastic stockings support and limb elevation treatment for 7 to 14 days,then the rehabilitation of limb function was given. The patients in experimental group were merely arranged to limb elevation treatment under the support of elastic stockings in early stage (1-2 days after thrombosis). The pulmonary infarction rate and functional recovery in both two groups were compared within 3 months. Results:No one in each group was dead from symptomatic pulmonary infarction during 3 months of the therapy. The FMA scores in both groups after treatment were significantly increased (P<0. 05, and 0. 01), more significantly in experimental group than in normal group (P< 0. 01). The VAS scores and upper circumference of calf malleolus were obviously decreased after treatment in both two groups (P<0. 05 ,and 0. 01) ,more significantly in experimental group than in normal group (P<0. 01). Conclusion: The preliminary findings show that the lower limb function of patients with ADVT, who underwent early rehabilitation therapy,had been improved more significantly and the speed of their recovery process is faster than in those only undergoing simply bed immobilization. The incidence of pulmonary infarction is not increased.关键词
脑卒中/急性下肢深静脉血栓形成/下肢功能训练Key words
stroke/acute deep venous thrombosis/lower limb function training分类
医药卫生引用本文复制引用
刘洁,刘彤,万勇,邹选民,刘庆庆..早期功能训练对脑卒中急性下肢深静脉血栓形成的影响[J].中国康复,2013,28(2):117-119,3.
