Early ambulation in the treatment of acute deep venous thrombosis:a systematic review
10.3761/j.issn.0254-1769.2017.05.016
- VernacularTitle:急性深静脉血栓患者早日下床活动可行性与安全性的系统评价
- Author:
Jianhua SUN
;
Yufen MA
;
Yifeng GUO
;
Xiaojie WANG
;
Bingdu TONG
;
Yaping CHEN
;
Yuan XU
- Keywords:
Venous Thrombosis;
Pulmonary Embolism;
Early Ambulation;
Review Literature as Topic
- From:
Chinese Journal of Nursing
2017;52(5):581-585
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility and safety of early ambulation in patients with acute deep ve-nous thrombosis. Methods The literatures about early ambulation for acute venous thrombosis were collected and the quality of the literature was evaluated by two investigators independently. Results Thirteen published studies were recruited for systematic review,including 10 RCTs and 3 CCTs. The meta-analysis showed that compared with bed rest,early ambulation did not increase the incidence of secondary pulmonary embolism in patients with acute DVT[early activity:22/1408;bed rest:34/1417;RR=0.62,95%CI(0.37,1.03),and the incidence of DVT progression [early activity:48/1523;bed rest:45/1525;RR=0.85,95%CI(0.58,1.24)]. There were no statistically significant differ-ences in mortality,swelling,and pain relief in acute DVT patients. Conclusion Early ambulation did not increase the incidence of thrombus progression and secondary pulmonary embolism in patients with acute DVT compared with bed rest. Besides,early ambulation cannot relieve symptoms of swelling and pain in DVT patients. However,it can relieve the acute pain of DVT patients with moderate to severe pain.
