围手术期护理预防髋关节置换下肢深静脉血栓形成的效果

The Effect of Perioperative Nursing on the Prevention of Hip Replacement of Deep Venous Thrombosis of the Lower Extremity

目的分析围手术期护理干预对于髋关节置换下肢深静脉血栓(DVT)的预防效果。方法选取我院2014年1月—2017年8月收治的55例髋关节置换术患者,按照随机双色球分组法,随机分为实验组(28例,常规护理基础上,加强围手术期护理干预)和对照组(27例,采用常规护理干预),对比两组患者DVT发生率以及住院时间。结果实验组术后DVT发生率(3.6%)低于对照组(14.8%)。实验组患者住院时间(10.2±2.1)d短于对照组(19.1±2.8)d。差异具有统计学意义(P<0.05)。结论髋关节置换术患者加强围手术期护理干预可有效预防DVT,提高手术治疗效果,帮助患者尽早康复。

Objective To analyze the preventive effect of perioperative nursing intervention on the hip replacement of deep vein thrombosis （DVT） of the lower extremity. Methods 55 cases of hip arthroplasty in our hospital from January 2014 to August 2017 were selected as the study objects. According to the random double chromosphere grouping method, they were randomly divided into experimental group （28 cases, on the basis of routine nursing, strengthening perioperative nursing intervention） and control group （27 cases, using routine nursing intervention）. The incidence of DVT and the time of hospitalization were compared between the two groups. Results The incidence of DVT in the experimental group （3.6%） was lower than that of the control group （14.8%）. The time of hospitalization （10.2±2.1） d of the patients in the experimental group was shorter than that of the control group （19.1±2.8） d. The difference was statistically signifcant （P 〈 0.05）. Conclusion Strengthening the perioperative nursing intervention for patients with hip replacement can effectively prevent DVT, improve the effect of surgical treatment and help the patients recover as soon as possible.