高血压脑出血患者发生深静脉血栓的原因及护理效果观察

Observation of Causes,and Nursing Effects of Deep Venous Thrombosis of Patients with Hypertensive Cerebral Hemorrhage

目的 观察高血压脑出血患者发生深静脉血栓形成(DVT)的原因及护理效果.方法 对我院2015年1月至2017年1月收治的80例高血压脑出血患者的临床资料进行回顾性分析,依据护理方法将这些患者分为常规护理组(n=40)和预防性护理组(n=40)两组,对两组患者的肢体肿胀、疼痛及DVT发生情况、临床护理效果进行统计分析.结果 预防性护理组患者的肢体肿胀、疼痛及DVT发生率各为67.5% (27/40)、80.0% (32/40)、2.5%(1/40)均显著低于常规护理组87.5% (35/40)、87.5% (35/40)、10.0% (4/40) (P <0.05),临床护理总有效率92.5% (37/40)显著高于常规护理组70.0%(28/40)(P<0.05).结论 预防性护理较常规护理更能有效降低高血压脑出血患者的DVT发生率.

Objective To investigate the causes,nursing methods and effects of deep venous thrombosis(DVT)of patients with hypertensive cerebral hemorrhage.Methods 80 cases of patients with hypertensive cerebral hemorrhage in our hospital from January 2015 to January 2017 were retrospectively analyzed,these patients were divided into conventional nursing group(n=40)and preventive nursing group(n=40)two groups on the basis of the nursing methods,the incidences of lower limb swelling,pain and DVT,clinical nursing effect of the two groups were statistically analyzed.Results The incidences of lower limb swelling,pain and DVT of the preventive nursing group 67.5%(27/40),80.0%(32/40),2.5%(1/40)were significantly lower than the conventional nursing group 87.5%(35/40),87.5%(35/40),10.0%(4/40)(P<0.05),the total clinical nursing efficiency 92.5%(37/40)was significantly higher than the conventional nursing group 70.0%(28/40)(P<0.05).Conclusion Preventive nursing can more effectively reduce the incidence of DVT of patients with hypertensive cerebral hemorrhage than conventional nursing.