综合性护理在预防骨科大手术后患者DVT形成中的应用

Application of comprehensive nursing in prevention of DVT formation after major operation in department of orthopedics

目的:探讨综合性护理在预防骨科大手术后下肢深静脉血栓(DVT)形成中的应用效果。方法:将2015年2月~2016年2月我科收治下肢骨折患者80例,随机等分为观察组和对照组。对照组患者术后给予常规护理,观察组采用综合性护理措施,包括术前宣讲,术后指导患者进行功能锻炼及术后24 h注射低分子肝素。比较两组患者DVT发生情况,术前,术后3 d,术后10 d血红蛋白、凝血酶原时间、凝血酶原活动度差异。结果:观察组患者DVT发生情况低于对照组(P<0.05);两组患者术前,术后3 d,术后10 d血红蛋白、凝血酶原时间及凝血酶原活动度比较差异均无统计学意义(P>0.05)。结论:综合性护理措施能够降低骨科术后DVT发生率。

Objective: To explore the applying effect of comprehensive nursing in the prevention of deep venous thrombosis( DVT) formation after major operation in department of orthopedics. Methods: A total of 80 patients with lower limb fracture admitted to our hospital from February 2015 to February 2016 were randomly and equally divided into observation group and control group. The control group received postoperative conventional nursing,and the observation group was treated with comprehensive nursing measures,including preoperative publicity and education,postoperative functional exercise instruction and low molecular weight heparin injection 24 h after operation. The difference in incidence of DVT,hemoglobin,prothrombin time and prothrombin activity preoperative,3 d and 10 d postoperative between the two groups were compared. Results: The incidence of DVT in the observation group was lower than that in the control group( P < 0. 05); the difference in incidence of DVT,hemoglobin,prothrombin time and prothrombin activity preoperative,3 d and 10 d postoperative between the two groups were not statistically significant( P > 0. 05). Conclusion: Comprehensive nursing measures can reduce the incidence of postoperative DVT in department of orthopedics.