Electric Acupoint Stimulation Combined With Intermittent Pneumatic Compression In Nursing Intervention Of Lower Extremity Deep Vein. Thrombosis In Patients With Craniocerebral Trauma

Objective To assess the value of electric acupoint stimulation combined with intermittent pneumatic compression in the prevention of lower extremity deep vein thrombosis in patients with craniocerebral trauma and thereby explore a safe and effective nursing approach integrating Traditional Chinese Medicine and Western Medicine,so as to provide objective basis for clinical application.Methods This study included 80 patients with craniocerebral trauma(cerebral hemorrhage)between January,2016 and January,2007.The patients were divided into control group and observation group 40 cases in each in accordance with the envelope method.The male 35 cases,female 45 cases.Aged 23～71 years old,epidural hematomas or subdural hematoma 42 cases,brain hematoma and cerebral contusion in 38 cases.12 cases with diabetes mellitus,19 cases surgical operation,61 cases of conservative surgery.Control group use conventional nursing measures with intermittent pneumatic compression for 30 minutes each,in the morning and afternoon to prevent the formation of the lower extremity deep vein thrombosis.Observation group which was based on the control group use intermittent pneumatic compression pumps combined with electric acupoint stimulation in preventing of lower extremity deep vein thrombosis in patients with craniocerebral trauma.Tsusanli,Taichong,Diji,chengjin four groups of acupoints are choosed.,line density wave stimulation,on all the time in the afternoon,half an hour at a time.Fourteen days after admission,the blood flow velocity and changes in hemodynamics of the patients were determined and compared between the 2 groups.Results(1)Two groups of patients before treatment in gender,age,type of craniocerebral trauma,Glasgow score and other general information,through statistical analysis and comparison,there was no significant difference,comparable.(2)In the two groups before and after treatment of prothrombin time(PT),activated partial blood coagulation time(APTT)live enzymes and 12 D dimer(D-dimer)levels compared with significant difference(P<0.01),the observation group improved better than that of control group(P<0.01).(3)Compared to stock in the two groups before and after treatment the total vein blood flow velocity has significant difference(P<0.01),the observation group improved better than that of control group(P<0.01).(4)The two groups before and after treatment compared with the incidence of lower extremity deep vein thrombosis,the observation group was significantly lower than the control group(P<0.01).Conclusion(1)Electric acupoint stimulation and intermittent pneumatic compression effect of combined use of prevention of deep vein thrombosis is better than pure intermittent pneumatic compression.(2)Electric acupoint stimulation combined with intermittent pneumatic compression,two different mechanisms to prevent deep vein thrombosis,both produced positive synergy,and security.In patients with coagulation indexes and hemorheology indexes were significantly improved,strands of total venous blood flow speed,reduce the incidence of lower extremity deep vein thrombosis,improves the level of the treatment of patients with craniocerebral trauma and the quality of life.(3)This study suggests acupoint electric stimulation combined intermittent pneumatic compression the formation of the lower extremity deep vein thrombosis in patients with traumatic brain injury has very good role of secondary prevention,clinical curative effect,clinical application and dissemination value.But this study sample size is small,which leads to the research results may be there is a certain deviation,so the clinical need large sample size prospective studies to further confirm.