护理管理预防胆囊手术患者术后下肢深静脉血栓形成的作用

Effects of Nursing Management in Preventing deep Venous Thrombosis of Lower Extremity after Gallbladder Surgery

目的探讨护理管理预防胆囊手术患者术后下肢深静脉血栓形成(DVT)的作用。方法选取2014年1月至2015年1月我院收治的90例胆囊手术患者作为研究对象,按照入院顺序随机分为观察组与对照组,每组各45例。对照组患者给予常规护理,观察组给予护理安全管理干预,并对两组主要凝血功能指标进行比较分析。结果观察组患者发生DVT有5例,未发生的有40例;对照组发生DVT有14例,未发生的有31例(P<0.05)。观察组痊愈14例,显效26例,有效4例,无效1例;对照组痊愈7例,显效18例,有效11例,无效9例。(P<0.05)。观察组实行护理管理,对照组实行常规护理,两组患者分别于出院后进行随访调查,然后进行比较。观察组护理满意度为95.26%;对照组满意度为73.33%。(P<0.05)。观察组的a PTT、PT指标高于对照组,Fbg指标低于对照组差(P<0.05)。结论对胆囊手术患者实行护理管理,能有效预防术后下肢DVT的形成。

Objective To explore the effects of nursing safety management in preventing deep venous thrombosis（DVT） of lower extremity after gallbladder surgery. Methods From January 2014 to January 2015, 90 patients undergoing gallbladder surgery were randomly divided into the observation group and thew control group according to the order of admission, 45 cases in each group. Patients in the control group were given routine nursing, while patients in the observation group were given nursing management, and the main coagulation function indexes were comparatively analyzed. Results The incidence rate of DVT of lower extremity in the observation group was significantly lower than that in the control group （ P 〈 0.05 ）. Both groups were followed up, and the nursing satisfaction rate in the observation group was significantly higher than that in the control group （ P 〈 0.05 ）. aFTT, PT in the observation group were higher than those in the control group（P 〈0.05） ,and Fbg were lower（P 〈0.05）. Conclusion The implementation of nursing management in patients can effectively prevent the incidence of DVT of lower extremity after surgery.