膝关节置换术后应用时间位点护理预防DVT发生的疗效分析

Analysis of the effect of the time point nursing on the prevention of DVT after knee arthroplasty

目的:探讨应用时间位点的规范性护理预防膝关节置换术后深静脉血栓形成的效果。方法:将36例人工全膝关节置换术患者随机分为两组各18例,对照组采用膝关节置换术后常规护理方法,观察组选用5个时间位点的规范性量表进行护理。比较两组患者术后DVT发生情况。结果:观察组术后第1天和第3天D-二聚体检测值明显优于对照组(P<0.05),观察组术后疼痛评分与对照组比较差异有统计学意义(P<0.05),两组患者在术后Homan征及Neuhof征方面比较差异有统计学意义(P<0.05)。结论:运用时间位点的规范性护理明显优于传统护理方法,可降低膝关节置换术后DVT发生率。

Objective：To investigate the effect of the time point nursing on the prevention of deep vein thrombosis （DVT） after knee ar- throplasty. Methods ：36 patients who received total artificial knee arthroplasty were randomly divided into the observation and control groups （18 patients in each group）. The routine nursing care was taken in the control group after operation;the nursing care was implemented ac- cording to the normative scale at 5 selected time points in the observation group. The occurrence of DVT after operation was compared be- tween the two groups. Results：The value of D - dimer detection on the 1 st and 3rd day after operation was better in the observation group than the control group （ P 〈 0.05 ） ; the difference in the comparison of the score of postoperative pain were statistically significant between the two groups （ P 〈 0.05 ） ; the comparison of postoperative Homan and Neuhof syndrome was significantly different between the two groups （ P 〈 0.05）. Conclusion ： The normative time point nursing is obviously superior to the traditional nursing method and it can reduce the in- cidence of DVT after knee arthroplasty.