Observation on the application of pneumatic therapy instrument combined with early rehabilitation training in elderly patients with cerebral hemorrhage after operation
气压治疗仪联合早期康复训练在老年脑出血术后患者中的应用观察

摘要

目的 对老年脑血管术后患者应用气压治疗仪联合早期康复训练干预的效果进行观察。方法 本次研究中随机选择我院2021年3月-2022年5月间收治的80例患者为研究对象，按照随机方式均分为对照组（n=40）和观察组（n=40），对照组采取常规护理模式进行干预，同时为避免患者出现下肢深静脉血栓使用医用弹力袜。观察组除采取常规干预后，使用早期康复训练联合气压治疗仪进行干预，对两组患者干预后治疗效果进行对比。结果 经干预后观察组患者下肢深静脉血栓整体形成率为5%，对照组下肢深静脉血栓形成的整体比例为17.5%，两组相比较，观察组明显更低，P<0.05，差异显著。经干预后，与对照组相比较，观察组患者凝血酶原时间、血浆粘度、活化部分凝血活酶时间等均明显更优；P<0.05，差异显著。经治疗后观察组患者下肢周径无明显变化，P>0.05。对照组下肢周径与治疗前相比较明显更大，P<0.05，差异显著。两组下肢周径治疗后存在明显差异，P<0.05，差异显著。结论 在临床老年脑出血患者过程中气压治疗仪联合早期康复训练治疗效果显著，对患者血流动力学、流变学有明显改善效果，同时也能有效预防患者术后出现下肢深静脉血栓。具有极大推广价值。

Abstract

Objective To observe the effect of air pressure therapy instrument combined with early rehabilitation training on the elderly patients after cerebrovascular surgery.
Methods In this study, 80 patients admitted to our hospital from March 2021 to May 2022 were randomly divided into control group (n=40) and observation group (n=40). The control group took routine nursing mode for intervention, and at the same time, medical elastic socks were used to prevent patients from deep venous thrombosis of lower limbs. In addition to routine intervention, the observation group used early rehabilitation training combined with air pressure therapy instrument for intervention, and compared the treatment effect of the two groups of patients after intervention.
Results After intervention, the overall rate of lower limb deep vein thrombosis in the observation group was 5%, and the overall rate of lower limb deep vein thrombosis in the control group was 17.5%. Compared with the two groups, the observation group was significantly lower (P<0.05), with a significant difference. After intervention, compared with the control group, the prothrombin time, plasma viscosity and activated partial thromboplastin time in the observation group were significantly better; P<0.05, the difference was significant. After treatment, there was no significant change in the circumference of lower limbs in the observation group (P>0.05). The lower limb circumference of the control group was significantly larger than that before treatment (P<0.05). There was a significant difference between the two groups in lower limb circumference after treatment (P<0.05).
Conclusion   In the clinical treatment of elderly patients with cerebral hemorrhage, the combination of air pressure therapy instrument and early rehabilitation training has a significant effect on the hemodynamics and rheology of patients, and can also effectively prevent the occurrence of deep venous thrombosis of lower limbs after surgery. It has great promotion value.