预防性护理对高血压脑出血患者术后下肢深静脉血栓形成的影响

The effect of prevention nursing on deep venous thrombosis of lower limb in patients with hypertensive cerebral hemorrhage

目的探讨预防性护理对高血压脑出血患者术后下肢深静脉血栓(DVT)形成的影响。方法将我院120例高血压脑出血患者分为观察组和对照组,每组各60例。对照组采用常规护理,观察组在对照组的基础上给予预防性护理,比较两组DVT形成情况。结果观察组与对照组在术后7 d的凝血指标变化比较差异无统计学意义(P>0.05)。观察组DVT的发生率为0,显著低于对照组的15.0%(P<0.05)。观察组的护理质量满意度为98.3%,显著高于对照组的83.3%(P<0.05)。两组术后再出血率差异无统计学意义(P>0.05)。结论预防性护理有利于减少高血压脑出血术后DVT的形成。

Objective To investigate the effect of prevention nursing on deep venous thrombosis of lower limb in patients with hypertensive cerebral hemorrhage. Methods 120 patients with hypertensive cerebral hemorrhage were divided into the observation group and the control group, each group had 60 cases, the control group was given conventional nursing, the observation group was given preventive care on the basis of the control group, two groups were compare with DVT. Results Coagulation index changes after the postoperative 7 days had no significant difference between two groups （P 〉 0.05）. The rate of DVT was 0 in the observation group that was significantly lower than 15% in the control group （P 〈 0.05）. Satisfac- tion degree on nursing quality was 98.3% in the observation group that was significantly higher than 83.3% in control group （P 〈 0.05）, postoperative rebreeding rate in two groups was no significant difference （P 〉 0.05）. Conclusion Pre- ventive care helps to reduce DVT in patients with hypertensive cerebral hemorrhage.