骨科术后下肢深静脉血栓形成的护理干预

CORRELATIVE ANALYSIS OF RISK FACTORS OF DEEP VEIN THROMBOSIS IN LOWER EXTREMITY IN ORTHOPEDIC PATIENTS AND THEIR NURSING INTERVENTION

目的探讨骨科术后下肢深静脉血栓(DVT)形成的临床危险因素及相应的护理预防对策。方法回顾分析我科2007～2009年收治的169例骨科术后发生DVT患者的临床资料,进行危险因素评估,以此指导护理人员制定有效的预防护理措施。结果本组169例患者术后发生DVT80例(47.34%),年龄、BMI、抗凝药使用情况及术后双下肢功能锻炼是骨科术后下肢深静脉血栓形成的危险因素。结论针对下肢深静脉血栓形成的危险因素,制定预防性护理措施,可有效地预防下肢静脉血栓的形成。

Objective To study the clinical risk factors of deep vein thrombosis（DVT） in lower extremity in orthopedic patients and methods of nursing care. Methods Retrospective analysis of our department from 2007 to 2009, 169 cases of postoperative orthopedic patients with DVT were analyzed. The risk factors in all patients were analyzed and to take corresponding measure in the prevention and care in order to reduce deep venous thrombosis incidence. Results Deep venous thrombosis was found in 80 patients, the incidence was 47.39%. The risk factors for DVT included age, BMI, postoperative passive functional exercise, and antithrombotics. Conclusion To take a series of prevention and care measures according to the risk factors for DVT can significantly reduce deep venous thrombosis incidence.