#常德头条 ##汉寿县人民医院#
In orthopedic wards, nurses can often be seen administering pneumatic pump therapy to patients who have been in bed for a long time after surgery or other long periods of time.
(▲Barometric pressure therapy)
When I see a pneumatic pump device, I often ask, "What kind of high-tech thing is this?" Can it cure my disease?
Don't underestimate it, it's a great helper for the prevention of deep vein thrombosis. Let's take a look at science today.
Experts from Hanshou County People's Hospital said that to understand barometric therapy, it is necessary to first understand deep vein thrombosis.
1. Deep vein thrombosis
Deep vein thrombosis is the process in which blood clots or some parts of the blood form a solid mass in the blood vessels.
Deep vein thrombosis is a serious threat to human health, including deep vein thrombosis (DVT) and pulmonary embolism (PE), which is the third most common cardiovascular disease after ischemic heart disease and stroke, with an incidence of about 500 cases per 100,000 people, and cancer patients are 5 times that of the general population.
Most deep vein thrombosis and pulmonary embolism can be asymptomatic in the early stage, so deep vein thrombosis is also called the "silent killer"! About 90% of deep vein thrombosis occurs in the lower limbs.
Patients are at risk of venous thrombosis when they are bedridden for a long time after surgery, and most deep vein thrombosis and pulmonary embolism may be asymptomatic in the early stages.
The causes of deep vein thrombosis generally fall into three broad categories:
1. Hypercoagulable state of blood, such as trauma, major surgery, postpartum, etc.
2. Damage to the venous wall, such as surgery, fracture, infection, etc.
3. Slow blood flow, such as sedentary and long-distance flights.
How to prevent deep vein thrombosis, you have to mention barotherapy.
2. Barotherapy therapy
1. What is barotherapy?
Pneumatic therapy is a physical therapy method that replaces the human hand, through the sequential repeated inflation and deflation of multi-chamber air sacs, and the uniform and orderly squeezing from the distal end to the proximal end of the limb to form circulatory pressure on the limb and tissue.
2. What is the role of barotherapy?
(1) Prevention of deep vein thrombosis and varicose veins
It can effectively accelerate the flow of blood and lymph in the limbs and improve circulation, preventing patients from developing blood clots in the large veins of the limbs. This treatment is effective in patients who are bedridden for a long time or who have fractured lower extremities.
(2) Effective swelling and analgesic effects
It has significant curative effects on lymphedema of the upper and lower limbs, edema of lymphatic reflux disorders, and complex regional pain syndromes (such as neuroreflex edema and hemiplegic limb edema after cerebrovascular accident). It can quickly eliminate the symptoms of insufficient blood supply such as primary secondary edema of the limbs, relieve pain, numbness of the limbs, and cold hands and feet.
(3) Prevent muscle atrophy and increase proprioceptive recovery
It has the effect of massaging and stimulating the local muscles, and can effectively stimulate the related muscles and prevent muscle atrophy through continuous inflation and deflation.
(4) Diabetic foot
For patients with diabetic peripheral neuritis, the length of hospital stay can be significantly shortened.
3. Applicable people for barotherapy
(1) Prevention of deep vein thrombosis;
(2) Venous insufficiency, prevention of varicose veins;
(3) primary and secondary lymphedema;
(4) edema in pregnant women;
(5) Postoperative rehabilitation of orthopedics, general surgery, cerebral palsy, etc.;
(6) edema in patients with trauma, fractures, soft tissue injuries and other bone injuries;
(7) Patients with limb paralysis, patients who have been standing, lying for a long time or have been bedridden for a long time;
(8) Prevention of peripheral neuritis caused by diabetes;
(9) Numbness of hands and feet, peripheral circulatory disorders;
(10) Patients with intermittent claudication.
4. Contraindications to barometric therapy
(1) Severe limb infection is not effectively controlled;
(2) recent lower extremity deep vein thrombosis;
(3) Acute inflammatory skin diseases and large-scale ulcers;
(4) Those with unfixed fractures and bleeding tendencies;
(5) Patients with pulmonary edema;
(6) Patients with unstable hypertension.
Pneumatic therapy can prevent the formation of pressure ulcers and venous thrombosis of the lower limbs in the elderly who have been bedridden for a long time, and is of great significance for the prevention of thrombotic diseases.
It is recommended that patients who are in a long-term bed or passive position after surgery can be treated with appropriate barotherapy, but patients with severe infection of the lower limbs, bleeding tendency, or deep vein thrombosis in the lower extremities should avoid barotherapy. In addition, it is necessary to perform barometric therapy under the guidance of a doctor, and it is not possible to do barometric therapy without permission.
Hunan Medical Chat Special Author: Ding Jing, Second Orthopedic Ward, Hanshou County People's Hospital
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(Edited YT.) Part of the picture is from the Internet, invaded and deleted)