目的 下肢痉挛是血液透析治疗的常见并发症,常需紧急处理,除了临床用药还需医护人员实施人工牵拉按摩,本文介绍一种有效的下肢痉挛牵拉治疗仪,该治疗仪对他人的依赖性较低.方法 治疗仪由托板、踏板、螺杆调节器等主要部件组成,当患者下肢发生痉挛时,可调整至患者能接受的角度,使足底抵紧踏板并保持膝盖伸直,再用绑带固定,帮助患者伸展下肢及足底肌肉.结果 踏板和绑带的设计可适应不同体型和需求的患者,装置轻便,安装使用操作方便,可有效帮助患者牵拉下肢.结论 透析患者下肢痉挛时,容易因挣扎导致脱管,从而带来临床风险.该治疗仪可固定下肢并使肌肉保持长时间牵拉状态,对医护人员依赖性较低,可减轻患者恐惧心理,提高患者就医积极性.%Objective Lower limb spasm is a common complication of hemodialysis treatment that always needs emergency treatment. In addition to clinical medication, the mitigation of tower limb spasm also needs medical staff to implement artificial stretch massage. This article introduced an effective traction treatment apparatus for lower limb spasticity, which was less dependent on others. Methods The treatment instrument was composed of a pallet, a pedal, a screw regulator and other major components. The pedal was adjusted to the appropriate angle when the patients with lower limb spasm. So the patients' feet could close up the pedal and the patients could keep the knee straightly. Then the lower limbs were tied to help patients stretch the lower limbs and foot muscles. Results The pedal and strap could adapt to different size and needs of patients. There were lots of advantages of the device, such as portability, convenient installation and operation, and it could effectively help patients to pull the lower limbs. Conclusion The struggle that caused by spastic pain was easy to take off patient's tube, which might lead to security risks in treatment. The treatment instrument can hold down the lower limbs and keep the muscles in a long time, which was less dependent on the medical staff. In addition, it can reduce the patient's fear and improve the patient's motivation.
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