冰硝散外敷预防下肢深静脉血栓形成护理中的应用

The Application of Bingxiao Powder External Application in the Prevention of Deep Vein Thrombosis

目的探讨冰硝散外敷在预防下肢深静脉血栓形成护理中的应用效果。方法收集2015年1月—2015年12月收治的64例髋关节置换术患者纳入本研究,随机分为对照组与实验组。对照组进行常规护理,对患者进行心理指导、用药指导、功能锻炼等。在此基础上,实验组进行冰硝散外敷。观察患者疗效、大腿周径、小腿周径、深静脉血拴(DVT)发生情况。结果实验组护理后总有效率为96.88%,高于对照组的71.88%,差异有统计学意义(P<0.05),护理后2组患者大腿周径均低于护理前,差异有统计学意义(P<0.05);护理后实验组大腿周径低于对照组,差异有统计学意义(P<0.05)。护理后2组患者小腿周径均低于护理前,差异有统计学意义(P<0.05);护理后实验组小腿周径低于对照组,差异有统计学意义(P<0.05)。实验组护理后DVT发生率为9.38%,低于对照组的34.38%,差异有统计学意义(P<0.05)。结论冰硝散外敷能够有效预防下肢深静脉血栓形成,提高治疗效果,改善大腿周径、小腿周径,降低DVT发生情况。

Objective To explore the nursing effect of Bingxiao powder external application in the prevention of deep vein thrombosis.Methods 64 cases of patients with hip replacement from January 2015 to December 2015 were divided into experiment group and control group. The control group was given routine nursing, such as psychological guidance, medication guidance and functional exercise, etc. On this basis, the experimental group was treated by Bingxiao powder external application. The curative effect, the thigh circumference, the leg circumference and DVT were observed. Results The total effective rate of the experimental group was 96.88%which was higher than 71.88% of the control group, and the difference was statistically significant（ P 〈0.05）. After nursing, the thigh circumference of the 2 groups was lower than that before treatment, and the difference was statistically significant（P 〈0.05）.After nursing, the leg circumference of the 2 groups was lower than that before treatment, and the difference was statistically significant（P〈 0.05）. After nursing, the leg circumference of the experimental group was lower than that of the control group, and the difference was statistically significant（ P 〈0.05）. After nursing, the incidence of DVT of the experimental group was 9.38%which was less than 34.38% of the control group, and the difference was statistically significant（P〈 0.05）. Conclusion Bingxiao powder external application can be effective in preventing deep vein thrombosis of lower limb, improve the therapeutic effect, the thigh circumference and the leg circumference, reduce the incidence of DVT.