脑卒中患者预防下肢静脉血栓前瞻性干预措施

Forward-looking intervention measures for the prevention of lower limb deep vein thrombus in stroke patients

目的总结前瞻性干预措施对预防脑卒中下肢血栓形成发生的影响。方法选择2008年1月-2009年3月脑卒中住院患者368例为对照组，选2009年3月-2010年2月414例作为观察组。对照组按神经内科护理常规进行护理，观察组在此基础上对患者进行血栓栓塞危险因素的评估，根据危险因素的不同，采取不同的预防措施。比较2组护理后下肢静脉血栓症发生的情况。结果观察组下肢静脉血栓形成发生率明显低于对照组（P〈0．05）。结论通过评估危险因素的不同采取不同的前瞻性干预措施，能有效地减少和预防脑卒中患者下肢静脉血栓的发生，改善脑卒中患者发生下肢静脉血栓形成的危险。

Objective To summarize the efficacy of forwardlooking intervention measures for the prevention of lower limb vein thrombus in stroke patients. Methods Three hundred and sixty-eight stroke patients in our hospital from Jan. 2008 to Mar. 2009 were chosen as control group in the study. Four hundred and fourteen patients from Mar. 2009 to Feb. 2010 served as ob- servation group. The control group received conventional nursing. Besides the conventional nursing, the observation group undertook different preventative measures after assessing the risk factors of thrombus. The incidence rates of lower limb deep vein thrombus of the two groups were compared. Results The incidence rate was significantly lower in the observation group than in the control group （P 〈 0.05）. Conclusion To adopt different forward- looking intervention measures after the assessment of risk factors can effectively reduce and prevent lower limb deep vein thrombus of stroke patients.