综合护理对髋膝关节术后下肢深静脉血栓的影响

The effect of comprehensive nursing in the patients with deep venous thrombosis after hip knee surgery

目的分析综合护理对髋膝关节术后下肢深静脉血栓(DVT)的影响。方法选取2015年5月~2016年4月共84例在湖州师范学院附属第一医院行髋膝关节术的患者,按随机数表法分为观察组和对照组,每组各42例。对照组患者给予基础护理,观察组患者在此基础上给予综合护理干预。观察并记录两组患者的一般临床指标,包括住院时间、输血、便秘、术后早期活动例数;同时观察比较两组患者下肢DVT发生情况;并比较两组患者对护理的满意度。结果观察组DVT发生例数显著低于对照组(P<0.05);观察组术后早期活动例数明显多于对照组,平均住院时间明显短于对照组(P<0.05);便秘及输血例数则明显少于对照组(P<0.05);观察组满意度(92.86%)明显优于对照组的满意度(66.67%),差异有统计学意义(P<0.05)。结论对髋膝关节术后患者进行综合护理可有效预防患者下肢DVT的发生,改善患者预后及提高护理满意度。

Objective To explore the prognostic role for the patients with deep venous thrombosis （DVT） after hip knee surgery by comprehensive nursing. Methods 84 patients underwent hip knee surgery in the First Affiliated Hospital of Huzhou Teachers College from May 2015 to April 2016 were selected and divided into observation group and control group by random number table, with 42 cases in each group. The patients in control group were given to basic nursing, and the patients in observation group were given to comprehensive nursing. The general clinical indexes of two groups were observed and recorded, including hospitalization time, blood transfusion, constipation, and the number of early postoperative activities. At the same time, the DVT occurrence and satisfaction of two groups were compared. Results The cases of DVT in the observation group were lower than those in the control group （P 〈 0.05）. The cases of postoperative early mobilization in the observation group were higher than those in the control group （P 〈 0.05）. The average hospital stays for the observation group was lower than that in the control group （P 〈 0.05）. The cases of constipation, blood transfusion in the observation group were lower than those in the control group （P 〈 0.05）. The nursing satisfaction of the observation group （92.86%） was better than that of the control group （66.67%）, with statistically signifi cant difference （P 〈 0.05）. Conclusion The comprehensive nursing can prevent the patients after hip knee surgery from DVT, also improve prognosis and the nursing satisfaction.