全程系统性干预在下肢深静脉血栓患者中的临床疗效

Evaluation of the value of whole-course systematic intervention in patients with deep venous thrombosis of lower extremities

目的探讨全程系统性干预在下肢深静脉血栓患者中的临床疗效。方法选择哈尔滨医科大学附属第一医院2018年1月至2019年1月行手术治疗的500例患者,按照干预方法不同分为对照组200例行常规干预和观察组300例行全程系统性干预。比较两组的术后下肢深静脉血栓形成率、下肢周径差值、不良情绪评分和生活质量评分。结果术后,观察组下肢深静脉血栓形成率为0.67%(2/300)低于对照组5.00%(10/200),差异有统计学意义(P<0.05)。干预后,观察组的患侧—健侧大腿周径差值和患侧—健侧小腿周径差值均小于对照组;SAS和SDS评分均低于对照组;观察组患者的生活质量评分均高于对照组,差异有统计学意义(P<0.05)。结论全程系统性干预可预防下肢深静脉血栓形成,有利于减轻患者不良情绪,提升患者生活质量。

Objective To explore the clinical effect of whole-course systemic intervention in patients with deep venous thrombosis of lower extremities. Method From January 2018 to January 2019, 500 patients who underwent surgery in the First Affiliated Hospital of Harbin Medical University were divided into control group(200 cases) and observation group(300 cases). The incidence of deep venous thrombosis in lower extremities, the difference of lower extremity circumference, the score of bad mood and the score of quality of life were compared between the two groups. Result After intervention, the lower extremity deep venous thrombosis rate in the observation group was 0.67%(2/300) lower than that in the control group 5.00%(10/200), the difference was statistically significant(P<0.05). After intervention, the difference of thigh circumference and calf circumference between the affected side and the healthy side in the observation group were smaller than those in the control group;the scores of SAS and SDS were lower than those in the control group;the scores of quality of life in the observation group were higher than those in the control group, with statistical significance(P<0.05). Conclusion Whole-course systemic intervention throughout the course can prevent deep venous thrombosis of lower limbs, help to alleviate patients’ bad mood and improve patients’ quality of life.