多学科协作联合踏车训练预防老年患者下肢深静脉血栓研究

Objective To explore the effect of multidisciplinary team(MDT) intervention mode combined with bicycle training rehabilitation therapy on preventing lower extremity deep vein thrombosis(LEDVT) of elderly patients in the intensive care unit(ICU). Methods A total of 100 elderly ICU patients admitted to our hospital from July 2023 to December 2024 were selected and randomly divided into a control group and an observation group using a random number table method. The control group received conventional clinical procedures for diagnosis and treatment, while the observation group received rehabilitation treatment using the MDT intervention mode combined with bicycle training. Compared the mechanical ventilation time, ICU admission time, ICU acquired myasthenia gravis(ICU-AW) and lower limb deep vein thrombosis(LEDVT) incidence, muscle strength, mobility, and self-care ability between two groups of patients. Results Compared with the control group, the observation group had shorter mechanical ventilation time and ICU stay time(P<0.05). The incidence of acquired myasthenia gravis and lower limb deep vein thrombosis in the intensive care unit was lower in the observation group(P<0.05). After intervention, the observation group had higher score of musde strength, mobility and self-care ability(P<0.05). Conclusion The application of MDT intervention mode combined with bicycle training in the rehabilitation treatment of elderly patients in ICU can effectively shorten their mechanical ventilation time and ICU stay time, improve their muscle strength, activity ability and self-care ability, and have a positive effect on the prevention of ICU-AW and LEDVT.