Application study on intermittent pneumatic pressure pump in prevention of lower limb circulation disorder in pa-tients with aortic balloon pump
Fan Yufei
Chang Yun
Abstract：Objective:To probe into the effectiveness of intermittent pneumatic pressure pump for prevention and improvement of lower extremity circulation disorder in patients with aortic balloon pump(IABP).Methods:A total of 76 cases of patients were selected as the research objects who received percutaneous femoral artery puncture IABP and retaining the sheath in CCU from January 2014 to January 201 6 in our hospital.They were randomly divided into two groups,the patients in control group(n =39)did IABP catheter lateral ankle pump motor:ankle flexion and extension,by varus,valgus combination of the “ring”movement,every morning,noon, afternoon,bedtime for 4 times,each time for 100 circles.The patients in observation group(n=37)on the basis of ankle pump motor used the intermittent Airpro 600 pneumatic pressure pump produced by Chongqing li-fotronic medical instrument company,setting the initial inflation pressure at 40 mmHg,then according to the patient’s tolerance to adjust pressure from 80 mmHg to 120 mmHg,once every morning and 30 mins for once. On the second day,fourth day,seventh day after IABP catheter and second days after catheter extubation,the lower limb blood circulation indexes:toe end SpO 2 ,skin color,temperature,feeling,lower leg circumference, foot dorsal artery palpation,dorsal Doppler ultrasound,ankle brachial index(ABI),the patient’s subjective feel-ings.Results:There were statistically significant differences in the subjective feelings of patients between both groups on the second day of IABP (P < 0.01 ).There were statistically significant differences in the toe end SpO 2 ,lower limb temperature,lower leg circumference,and subjective feelings between both groups on the fourth day of catheter(P <0.05 or P <0.01).On the seventh day after catherter,there was statistically signifi-cant difference in toe end SpO 2 ,lower extremity temperature,lower leg circumference,foot dorsal artery palpa-tion,the dorsalis pedis artery Doppler ultrasound and subjective feelings(P <0.05 or P <0.01).Conclusion:In-termittent pneumatic pressure pump combined with lower limb ankle pump motor can replace the lower limb passive movement with the help of nurses,reduce the nursing workload,improve the IABP catheter lower limb blood circulation,prevent or reduce the complications of lower limb ischemia,embolism and other circulation disorders,and then to improve patients’comfort.
Keywords：intermittent pneumatic pressure pumpankle pump movementaortic balloon counterpulsation pumplower limb circulation disorderprevention
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 3617-3621 )