Effect of ankle pump exercise on deep vein thrombosis in patients with cerebral hemorrhage
踝泵运动对脑出血患者深静脉血栓的影响

摘要

目的 探究PDCA模式下对患者踝泵运动的干预效果。方法 研究时间2021年5月到2022年7月，研究患者共60人，均选自临床康复科，随机分成对照组，基础踝泵运动、研究组，在PDCA模式下行踝泵运动，每组受试对象30人，比对组间血栓预防效果。结果 研究组脑卒中病人凝血指标除D2聚体一项，PT和aPTT均高于对照组P＜0.05；干预前，研究组和对照组的踝关节活动度对比无显著差异，P＞0.05，干预后研究组的踝关节活动度显著优于对照组，P＜0.05；经比较生活质量评分，得知研究组的各项评分高于对照组，P＜0.05。结论 脑卒中患者应在PDCA模式下积极开展踝泵运动，可促进肢体血液循环、刺激淋巴回流，改善凝血指标。

Abstract

Objective To explore the intervention effect of ankle pump movement in patients under PDCA mode.
Methods The study lasted from May 2021 to July 2022. A total of 60 patients were selected from the clinical rehabilitation department. They were randomly divided into control group, basic ankle pump exercise group and study group. Ankle pump exercise was performed under PDCA mode. Each group had 30 subjects to compare the effect of thrombosis prevention between groups.
Results PT and aPTT in the study group were higher than those in the control group (P; Before intervention, there was no significant difference between the study group and the control group in ankle joint range of motion (P>0.05). After intervention, the ankle joint range of motion in the study group was significantly better than that in the control group (P<0.05); By comparing the scores of quality of life, it was found that the scores of the study group were higher than those of the control group (P<0.05).
Conclusion   The patients with stroke should actively carry out ankle pump exercise under PDCA mode, which can promote blood circulation of limbs, stimulate lymphatic reflux, and improve blood coagulation indicators.