综合干预对预防妇科肿瘤术后深静脉血栓的效果分析

Effect of Comprehensive Intervention on Prevention of Deep Venous Thrombosis after Gynecological Tumor Surgery

目的:探讨综合干预措施在预防妇科肿瘤患者术后深静脉血栓中的效果。方法:回顾性分析妇科肿瘤患者术后的临床资料,对深静脉血栓形成进行相关因素分析,根据对应的因素采取干预措施。将干预前的200例患者设为对照组,进行常规护理,观察组为实施干预措施的180例患者,比较两组患者深静脉血栓形成发生率以及患者对护理工作的满意度。结果:实施干预前200例患者中有9例患者出现深静脉血栓,发生率为4.50%,术后长时间卧床、多种合并症(≥2种)、肿瘤病理类型等均是深静脉血栓形成的危险因素(P<0.03),与年龄、手术时间、手术方式、下肢静脉曲张等因素无关(P>0.05);观察组有4例患者出现深静脉血栓,发生率为2.22%,两组间深静脉血栓发生率比较有显著性差异(P<0.01)。结论:综合干预措施可降低妇科肿瘤手术后深静脉血栓的发生率,并提升护理工作质量。

Objective To explore the effect of comprehensive interventions on prevention of deep venous thrombosis in patients after gynecologic tumors surgery. Methods： Clinical data of patients with gynecologic tumors were retrospective analyzed. The correlative factors of deep venous thrombosis were analyzed,and intervention measures were taken according to corresponding factors.200 patients before intervention were set as control group,treated with conventional nursing.180 patients in observation group were treated with intervention nursing. The incidence of DVT and patients＇ satisfaction with nursing work were compared between the two groups. Results： DVT occurred in 9 of the 200 patients before the intervention with the rate of 4.50% . Long postoperative bed rest, multiple complications （≥2） and tumor pathological types were all risk factors of DVT （ P 〈0.03）, it was not related to age, operation time, operation method, varicose veins of lower limbs and other factors （ P 〉0.05）;While in the control group,DVT occured in 4 patients,the rate was 2.22%, The incidence of DVT was significantly different between the two groups （ P 〈0.01）. Conclusion： Comprehensive interventions can reduce the incidence of deep venous thrombosis after gynecologic surgery and improve the quality of nursing work.