【摘要】 目的 探讨综合干预措施对缺血性脑卒中偏瘫患者生活质量与下肢深静脉血栓（DVT）的防治效果。方法 收集2021年1月至2023年4月于淮安市第二人民医院收治的126例缺血性脑卒中偏瘫患者的临床资料，根据患者出院后是否接受了综合干预将其分为观察组（n=59）和对照组（n=67）。比较两组患者住院期间的诊治指标、出院后1个月内下肢DVT发生率以及生活质量评估结果。结果 出院后1个月内，观察组患者均未发生症状性下肢DVT，而对照组患者中共有8例发生下肢DVT，两组比较，差异有统计学意义（P﹤0.05）。出院后1个月，两组患者36条目健康调查简表（SF-36）各维度评分和总分均高于本组出院时，且观察组患者上述评分均高于对照组患者，差异均有统计学意义（P﹤0.05）。结论 综合干预可以降低缺血性脑卒中偏瘫患者出院后下肢DVT的发生风险，提高患者的生活质量，值得在临床上进一步推广应用。更多还原

【Abstract】 Objective To explore the effect of comprehensive intervention on quality of life and lower extremity deep vein thrombosis(DVT) in patients with hemiplegia after ischemic stroke. Method Clinical data of 126 patients with ischemic stroke hemiplegia admitted to the Huai’an Second People’s Hospital from January 2021 to April 2023 were collected. According to whether the patients received comprehensive intervention after discharge, they were divided into observation group(n=59) and control group(n=67). The diagnosis and treatment indexes during hospitalization, the incidence of DVT in lower extremity within 1 month after discharge and the evaluation results of quality of life were compared between the two groups. Result Within 1 month after discharge, no symptomatic DVT occurred in the observation group, while 8 patients in the control group developed DVT, and the difference between the two groups was statistically significant(P<0.05). One month after discharge, the medical outcomes study 36-item short from health survey(SF-36) scores and total scores in both groups were higher than those in this group at discharge, and the above scores in observation group were higher than those in control group, with statistical significance(P<0.05).Conclusion Comprehensive intervention can reduce the risk of lower extremity DVT after discharge of ischemic stroke patients with hemiplegia, improve the quality of life of patients, and is worthy of further promotion and application in clinical practice.更多还原