临床路径对预防子宫根治术后下肢深静脉血栓形成的作用

Effects of Clinical Pathway on Preventing Deep Venous Thrombosis after Uterine Radical Surgery

目的:探讨临床路径(CP)对预防子宫根治术后下肢深静脉血栓(DVT)的作用。方法:将212例子宫根治术后病例分为研究组和对照组,对照组90例采用传统的诊疗模式和康复指导方法,研究组122例实施CP方案,并对两组的血小板(PLT)、纤维蛋白原(FIB)和D-二聚体(DD)值进行动态监测。结果:研究组下肢DVT发生率和住院天数低于对照组(1.64%与8.89%;15.66天与18.06天),差异均有统计学意义(P<0.05)。研究组PLT及DD值术后第11天及8天趋于平稳状态,FIB术后5天呈下降趋势。结论:应用CP有防止子宫根治术术后PLT及DD值增加,减少FIB含量的趋势,能降低子宫根治术后下肢DVT的发生。

Objective：To explore the effects of clinical pathway（CP） on prevention of deep venous thrombosis （DVT） after uterine radical surgery. Methods.212 cases are divided into test group and contrast group,90 cases in contrast group take treatment and rehabilitation method in traditional ways,while 122 cases in test group take CP methods. The level of PLT, FIB and DD were monitored dynamically. Results：The incidence rate of DVT and taverage length of hospital stay in test group were statistically significantly less than those in contrast group（ P 〈 0. 05）. The PLT and DD level in test group started to show steady trend from day 11 and day 8, respectively. FIB showed a downtrend from day 5 postoperation. Conclusions.Clinical pathway can effectively prevent the increase of PLT and DD,and decrease the level of FIB and the incidence rate of DVT in patients after uterine radical surgery.