预防髋部骨折术后深静脉血栓形成的措施及护理对策

Measures and nursing strategy to prevent deep vein thrombosis in hip fractures

目的探讨干预措施及护理对策对髋部骨折术后深静脉血栓形成的预防效果。方法 2009年3月～2011年3月对69例髋部骨折手术患者采用基本预防措施、物理预防措施、药物预防措施及相关的护理对策预防下肢深静脉血栓形成,进行临床护理观察,与单纯采用基本预防措施组比较术后下肢深静脉血栓发生率。结果 69例患者中10例发生下肢深静脉栓塞,发生率为14.5%,均发生于手术侧肢体,经治疗、护理后,临床症状消失。单纯采用基本预防措施组下肢深静脉血栓发生率33.87%,两组发生率比较,差异有统计学意义(P<0.05)。结论物理及药物预防措施及相关的护理对策,能有效预防髋部骨折术后患者深静脉血栓形成。

Objective To investigate the clinical effect of preventive measures and nursing strategy in deep vein thrombosis（DVT） after hip fracture surgery. Methods Basic preventive measures, physical preventive measures, drug preventive measures and nursing strategy were used in 69 hip fracture cases to prevent DVT after surgery from March 2009 to March 2011. Patients were conducted clinical nursing observation. DVT rate was compared with the cases who were only given basic preventive measures. Results There were only 10 cases of DVT occurred in 69 cases, the rate was 14.5%. DVT occurred in the surgical limb. Clinical symptoms were disappeared after treatment and nursing care. The rate was 33.87% in the cases who were only given basic preventive measures. There was significant difference in the rates between the two groups （P 0.05）. Conclusion Physical preventive measures, drug preventive measures and nursing strategy were helpful to prevent DVT in the patients with hip fracture after surgery.