骨科创伤手术患者术后并发下肢深静脉血栓的预防和治疗

Prevention and treatment of lower extremity deep venous thrombosis of patients after trauma surgery in department of orthopedics

目的:探讨骨科创伤手术患者术后并发下肢深静脉血栓(DVT)的预防和治疗方法。方法:收治骨科创伤手术患者120例,随机平分为两组,对照组行常规护理干预,观察组术中、术后均采取综合预防措施。统计两组DVT发生率,采取相应治疗,观察不同方法的治疗总有效率,检测药物抗凝前后凝血指标变化。结果:观察组DVT发生率明显低于对照组(10.0%vs 41.7%);药物抗凝的治疗总有效率明显低于导管溶栓与手术治疗,差异存在统计学意义(P<0.05),患者无出血倾向,高凝状态明显改善。结论:综合性预防措施有助于降低骨科创伤手术并发下肢深静脉血栓的风险,如有发生可采取导管溶栓或手术取栓以保证治疗效果。

Objective:To investigate the prevention and treatment of lower extremity deep venous thrombosis(DVT)of patients after trauma surgery in department of orthopedics.Methods:120patients with traumatic surgery in department of orthopedics were selected.They were randomly divided into the two groups on average.The control group received routine nursing intervention.The comprehensive preventive measures were taken during the operation and after operation in the observation group.The incidencerate of DVT in two groups was statistically analyzed,took appropriate treatment,the total effective rate of different methods was observed,and the changes of blood coagulation indexes before and after anticoagulation were detected.Results:The incidence of DVT in the observation group was significantly lower than that in the control group(10.0%vs41.7%).The total effective rate of anticoagulant therapy was significantly lower than that of catheter thrombolysis and surgical treatment,and the difference wasstatistically significant(P<0.05).There was no bleeding tendency in patients,the hypercoagulable state of patients improved obviously.Conclusion:Comprehensive preventive measures can help reduce the risk of lower extremity deep venous thrombosis of patients after trauma surgery in department of orthopedics.