摘要
目的:探讨压力梯度长袜(graduated compression stocking,GCS)在预防老年重症患者深静脉血栓形成(deep vein thrombosis,DVT)及体位性低血压(orthostatic hypotension,OH)中的应用效果。方法 :分析125例老年危重患者的病例资料,其中应用压力梯度长袜者61例(GCS组)。64例仅做常规处理,未应用压力梯度弹力袜(对照组)。观察两组患者下肢深静脉血栓形成及体位性低血压的发生情况。采用χ2检验对两组患者下肢深静脉血栓形成和体位性低血压的发生率进行比较分析。结果:GCS组患者下肢DVT发生率为3.3%(2/61),体位性低血压发生率为13.1%(8/61)。64例对照组患者的下肢静脉率为15.6%(10/64),OH发生率为29.7%(19/64)。组间下肢DVT发生率(χ2=5.486,P=0.030)及OH发生率(χ2=5.065,P=0.030)比较,差异均有统计学意义。结论:压力梯度长袜可以有效预防老年重症患者下肢深静脉血栓的形成并减少体位性低血压的发生。
Objective To investigate the application of graduated compression stocking （GCS） in elderly patients with severe illness,and itseffect on the prevention of deep vein thrombosis （DVT） and orthostatic hypotension （OH）. Methods： The data of 125 elderly patients withsevere illness were analyzed. Graduated compression stockings were used in 61 cases （GCS group）. Without graduated compressionstocking, the other 64 patients were treated with conventional treatment only （control group）. The incidences of DVT and OH in the twogroups were collected and compared by chi-square test between the two groups. Results： In the GCS group, the incidence of DVT was3.3% （2/61）, and the incidence of OH was 13.1% （8/61）. In the control group, the incidence of DVT was 15.6% （10/64） and the incidenceof OH was 29.7% （19/64）. The differences of incidences were both statistically significant between the two groups （P=0.030）. Conclusion：Graduated compression stocking can effectively prevent the incidence of DVT and OH in the elderly patients with severe illness.
出处
《天津护理》
2016年第4期293-295,共3页
Tianjin Journal of Nursing
关键词
压力梯度长袜
深静脉血栓
体位性低血压
ICU
老年
Graduated compression stocking
Deep venous thrombosis
Orthostatic hypotension
ICU
Elderly
