预防关节置换术后深静脉血栓的管理措施

Clinic management of preventing the risk factors of deep vein thrombosis in patients under total joint replacement

目的降低或避免关节置换患者住院期间深静脉血栓(DVT)的发生率。方法总结98例患者人工髋、膝关节置换围手术期的护理经验,制定相应的管理措施,要求护士术前采取针对性的预防措施,术后遵医嘱及时、准确、规范给药,密切观察患肢深静脉血流情况,指导、协助患者进行早期功能锻炼等。结果无1例因护理措施不到位而发生DVT。结论对关节置换患者进行DVT预防管理,可提高护士对DVT的风险预测能力,有效降低DVT的发生率。

Objective To reduce or avoid the deep vein thrombosis（DVT）rate of the patiewts in hospital who have a joint replacement. Methods Summcwied 98 patients who hael artificial hip, knee in the operation of the nursing experience,to formulate relevant management measures,asked the nurse preoperative take preventive measures to deal,after the doctor＇s advice and supervi sion of the drug, close observation from limb of the situation in the bloodstream,guidance to assist patients in the early exercise such functions. Results No one suffered DVT for incappropriottely nuvsing. Conclusion The patients to joint DVT prevention and management to improve the risk of the ability to predict DVT,can effectively reduce the incidence of DVT.