预见性护理措施对下肢多发骨折患者深静脉血栓的影响

Effect of Predictive Nursing Measures on Deep Vein Thrombosis in Patients with Multiple Fracture of Lower Extremities

目的:探讨预见性护理措施对下肢多发骨折患者深静脉血栓的影响。方法:将2012年6月至2015年12月中山市三乡医院收治的80例下肢多发骨折患者,将采取常规护理的40例患者分为对照组,将在常规护理基础上采取预见性护理措施的40例患者分为观察组,对比分析两组患者术前和术后1周血浆中D-二聚体含量、住院时间、深静脉血栓发生率。结果:术前两组患者血浆中D-二聚体含量比较,差异无统计学意义(P>0.05),术后1周两组血浆中D-二聚体含量均降低,且观察组数值低于对照组,观察组住院时间、深静脉血栓发生率均优于对照组,差异具有统计学意义(P<0.05)。结论:对下肢多发骨折患者实施预见性护理,能够降低患者血浆中D-二聚体含量,缩短患者住院时间,降低深静脉血栓发生率,有利于患者术后康复。

Objective To explore the effect of predictive nursing measures on deep vein thrombosis in patients with multiple fractures of lower limb. Methods 80 patients with multiple fractures of the lower extremities in our hospital from June 2012 to December 2015 were selected. 40 patients with routine care as control group. Another 40 patients with predictive nursing care on the basis of routine nursing were divided into observation group. The levels of D-dimer, length of hospital stay and incidence of lower extremities deep venous thrombosis（LEDVT） were measured before and 1 week after operation.Results There was no significant difference in plasma D-dimer level between the two groups before operation（P〉 0.05）. The plasma D-dimer level in both groups decreased at 1 week after operation, and the value of D-dimer in observation group was lower than that in control group. The incidence of LEDVT in the observation group was better than that in the control group, the difference was statistically significant（P 0.05）. Conclusion Predictive nursing of patients with multiple fractures of lower limbs can reduce the plasma D-dimer content, shorten the hospital stay, reduce the incidence of LEDVT, is conducive to postoperative rehabilitation.