急危重症患者使用中医水疗(中药泡洗)对其血液循环及下肢水肿缓解的效果观察

Observation on the Effect of Traditional Chinese Medicine Hydrotherapy (Herbal Soaking) on Blood Circulation and Relief of Lower Limb Edema in Critically Ill Patients

摘要: 本研究旨在探讨中医水疗(中药泡洗)对急危重症患者血液循环及下肢水肿的缓解效果。选取2024年1月至12月期间急诊重症监护病区100例急危重症伴下肢水肿患者，随机分为中药泡洗组和常规护理对照组，每组50例。中药泡洗组采用标准化中药泡洗方案，每日1次，连续7天。结果显示，中药泡洗组小腿周径平均缩小4.2 cm，腘静脉血流速度提升6.3 cm/s，D-二聚体水平显著下降2.75 mg/L，显著优于对照组(P < 0.001)。治疗期间未见严重不良事件。研究表明，中药泡洗能够有效改善急危重症患者的血液循环和下肢水肿，为临床提供了一种低创伤、低成本的干预方法。

Abstract: This study aims to investigate the effect of traditional Chinese medicine (TCM) hydrotherapy (herbal soaking) on blood circulation and the alleviation of lower limb edema in critically ill patients. A total of 100 critically ill patients with lower limb edema admitted to the Emergency Intensive Care Unit from January to December 2024 were selected and randomly divided into a herbal soaking group and a conventional care control group, with 50 patients in each group. The herbal soaking group received a standardized herbal soaking protocol once daily for 7 consecutive days. The results showed that the herbal soaking group had an average reduction of 4.2 cm in calf circumference, an increase of 6.3 cm/s in popliteal venous blood flow velocity, and a significant decrease of 2.75 mg/L in D-dimer levels, all significantly better than the control group (P < 0.001). No serious adverse events occurred during the treatment period. The study indicates that herbal soaking can effectively improve blood circulation and reduce lower limb edema in critically ill patients, providing a low-trauma, low-cost intervention method for clinical practice.