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하지압박요법이 중증 뇌손상 환자의 대퇴 정맥 혈류 속도변화에 미치는 영향

 Effects on Changes in Femoral Vein Blood Flow Velocity with the Use of Lower Extremity Compression for Critical Patients with Brain injury

Journal of Korean Academy of Nursing 2009년 39권 2호 p.288 ~ 297
KMID : 0806120090390020288
김정숙 ( Kim Jung-Sook ) - 삼성서울병원

김혜정 ( Kim Hye-Jung ) - 삼성서울병원
우연희 ( Woo Yun-Hee ) - 삼성서울병원
임지영 ( Lym Ji-Young ) - 삼성서울병원
이철형 ( Lee Chul-Hyung ) - 삼성서울병원 혈관검사실

Abstract

Purpose : This study was done to evaluate the mean venous velocity (MVV) response with knee and thigh length compression stockings (CS) versus intermittent pneumatic compression (IPC) devices in immobile patients with brain injuries.

Methods : We carried out a randomized controlled study. We analyzed both legs of a randomly chosen sample of 43 patients assigned to one of 4 groups (86 legs). The patients were sequentially hospitalized in the intensive care unit (ICU) in "S hospital" from November 2005 to December 2006. The base line and augmented venous velocity was measured at the level of the common femoral vein. We applied leg compression 42 times over 7 days (for 2 hours at a time at 2 hour intervals).

Results : There was a statistical difference among the 4 groups. The difference for the "IPC" group was more significant than the "CS" group.

Conclusion : These results indicate that the application of IPC can be considered as an effective method to prevent deep vein thrombosis for immobile patients with brain injury.
KeyWords

Venous thrombosis, Blood flow velocity, Compression devices
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed