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使用自动踝泵运动陶瓷艾灸康复装置预防下肢骨折外固定患者深静脉血栓形成的临床研究

Clinical study on the prevention of deep vein thrombosis in patients with external fixation of lower limb fractures using an automatic ankle pump movement ceramic moxibustion rehabilitation device.

作者信息

Yuan Weidan, Lin Mei, Huang Shaojuan, Jin Xin, Yu Wenhong, Huang Jinfeng, Chen He

机构信息

The Eighth Clinical School of Guangzhou University of Chinese Medicine, Foshan, Guangdong Province, China.

Department of Orthopaedics, Foshan Hospital of Traditional Chinese Medicine, Foshan, Guangdong Province, China.

出版信息

Expert Rev Hematol. 2025 Apr-May;18(5):417-423. doi: 10.1080/17474086.2025.2492226. Epub 2025 Apr 15.

DOI:10.1080/17474086.2025.2492226
PMID:40208181
Abstract

BACKGROUND

This study aims to observe the clinical effect of an automatic ankle pump ceramic moxibustion rehabilitation device in preventing deep vein thrombosis (DVT) in patients with external fixation of lower limb fractures.

RESEARCH DESIGN AND METHODS

This prospective, single-center, double-blind randomized controlled trial included 50 patients with lower limb fractures treated between April and September 2024. Patients were randomly assigned to a control group or an observation group ( = 25 each). The control group received basic and pharmacological prophylaxis; the observation group received the same plus treatment with the ceramic moxibustion device. DVT incidence, coagulation function, limb circumference, femoral vein blood flow velocity, and activities of daily living scores were compared before and one week after intervention.

RESULTS

The DVT incidence was significantly lower in the observation group than in the control group ( < 0.05). After one week, PT and APTT were higher, while D-Dimer and fibrinogen levels were lower in the observation group. Limb circumference differences, especially between affected and unaffected sides, were smaller, femoral vein flow velocity was higher, and ADL scores were significantly improved ( < 0.05).

CONCLUSIONS

The device effectively prevents DVT, improves coagulation parameters and blood flow, reduces limb swelling, and enhances functional recovery.

摘要

背景

本研究旨在观察自动踝泵陶瓷艾灸康复装置预防下肢骨折外固定患者深静脉血栓形成(DVT)的临床效果。

研究设计与方法

这项前瞻性、单中心、双盲随机对照试验纳入了2024年4月至9月期间治疗的50例下肢骨折患者。患者被随机分为对照组和观察组(每组25例)。对照组接受基本预防和药物预防;观察组在接受相同治疗的基础上,加用陶瓷艾灸装置进行治疗。比较干预前和干预1周后两组的DVT发生率、凝血功能、肢体周径、股静脉血流速度和日常生活活动评分。

结果

观察组的DVT发生率显著低于对照组(<0.05)。干预1周后,观察组的PT和APTT升高,而D-二聚体和纤维蛋白原水平降低。肢体周径差异,尤其是患侧与健侧之间的差异更小,股静脉血流速度更高,ADL评分显著改善(<0.05)。

结论

该装置能有效预防DVT,改善凝血参数和血流,减轻肢体肿胀,促进功能恢复。

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