骨科大手术后深静脉血栓形成50例综合护理干预

Comprehensive nursing intervention on 50 patients suffering from DVT after major orthopedic surgery

目的:探讨综合护理干预对骨科大手术后深静脉血栓形成(DVT)的预防作用。方法:将入住我院的100例患者按照抽签方法随机分为观察组和对照组各50例,对照组采取常规护理,观察组采取综合护理干预。结果:与对照组患者比较,观察组患者术后2周内DVT、下肢肿胀及肺栓塞发生率明显更低,护理满意度更高,住院天数更少(P<0.05,P<0.01)。观察组患者护理干预前后下肢静脉血流速度比较差异有统计学意义(P<0.05),且观察组患者护理后下肢静脉血流速度明显快于对照组患者护理后(P<0.05)。结论:对行骨科大手术的患者进行综合护理干预可降低DVT发生率,提高下肢静脉血流速度,值得临床推广。

Objective：To discuss the prevention effect of comprehensive nursing intervention on the patients suffering from DVT after major orthopedic surgery .Methods：100 hospitalized patients in our hospital were randomly divided into the observation group and the con -trol group （50 cases in each group） by drawing lots.The routine nursing care was taken in the control group and the comprehensive nurs -ing intervention was adopted in the observation group .Results：Compared with the control group ,the incidence of DVT ,lower limb swelling and pulmonary embolism of the patients was significantly lower ,their satisfaction with nursing care was higher and the days of hospitaliza-tion was fewer in the observation group within 2 weeks after operation （P〈0.05,P〈0.01）;the difference in the comparison of the blood flow velocity in the veins of lower extremity was statistically significant before and after nursing intervention in the observation group （ P〈0.05）;the blood flow velocity in the veins of lower extremity was faster in the observation group than the control group after nursing inter -vention （P〈0.05）.Conclusion：The comprehensive nursing intervention can reduce the incidence of DVT and improve the blood flow ve -locity in the veins of lower extremity in the nursing care of patients suffering from DVT after major orthopedic surgery .