Kiss Gabriella, Faludi Béla, Szilágyi Brigitta, Makai Alexandra, Velényi Anita, Ács Pongrác, Tardi Péter, Pallag Adrienn, Bors Viktória, Sekk Patrícia, Járomi Melinda
1 Faculty of Health Sciences, Institute of Physiotherapy and Sport Science, University of Pécs, Pécs, Hungary.
2 Neurology Clinic, University of Pécs Medical School, Pécs, Hungary.
Clin Appl Thromb Hemost. 2019 Jan-Dec;25:1076029619832111. doi: 10.1177/1076029619832111.
Our aim was to measure the venous blood flow velocity (VBFV) in case of hemiparetic patients, after passive and active thromboembolic methods, as well as the consensual effect in the hemiparetic limb following the active venous exercises in the healthy limb. We examined 215 patients, with the median age of 58.0 (55.0-63.0) years. The VBFV was measured with a HADECO BIDOP ES-100 V II type Doppler ultrasound device, using an 8 MHz head, on the femoral vein at the level of the hip joint. For statistical analysis, SPSS version 22 was used. After passive movement, on the hemiparetic side, compared to the value in resting state, the VBFV significantly (12.6; 11.6-13.5 cm/s; P < .001) increased. Following active venous exercises performed on the healthy side, the VBFV significantly (18.0; 15.6-19.6 cm/s; P < .001) increased compared to the value in resting state. Following the active venous exercises performed on the healthy side, the VBFV measured on the hemiparetic side (consensual effect) was significantly (15.1 [14.1-16.5] cm/s; P < .001) higher than the value on the hemiparetic side in resting state. Active and passive mechanical thromboprophylaxis methods can be effective. Movements of the healthy limb significantly increase the VBFV in the inactive limb, and patients can perform it themselves several times a day.
我们的目的是测量偏瘫患者在被动和主动血栓栓塞方法后的静脉血流速度（VBFV），以及在健康肢体进行主动静脉锻炼后偏瘫肢体的协同效应。我们检查了215例患者，中位年龄为58.0（55.0 - 63.0）岁。使用HADECO BIDOP ES - 100 V II型多普勒超声设备，配备8MHz探头，在髋关节水平的股静脉处测量VBFV。统计分析使用SPSS 22版。被动运动后，在偏瘫侧，与静息状态下的值相比，VBFV显著增加（12.6；11.6 - 13.5 cm/s；P <.001）。在健康侧进行主动静脉锻炼后，与静息状态下的值相比，VBFV显著增加（18.0；15.6 - 19.6 cm/s；P <.001）。在健康侧进行主动静脉锻炼后，在偏瘫侧测量的VBFV（协同效应）显著高于偏瘫侧静息状态下的值（15.1 [14.1 - 16.5] cm/s；P <.001）。主动和被动机械性血栓预防方法可能有效。健康肢体的运动显著增加了无活动能力肢体的VBFV，并且患者自己每天可以进行几次。
