基于风险评估及彩超检查的SICU颅脑患者深静脉栓塞预防护理研究

Study on the Preventive Nursing of Deep Vein Embolization in SICU Patients Based on Risk Assessment and Color Ultrasound Examination

目的:研究基于Caprini血栓评估量表及定时彩超检查的SICU颅脑患者深静脉栓塞预防护理。方法:选取SICU 109例颅脑患者作为研究对象,入院24 h内行双下肢血管彩超检查,排除深静脉栓塞,根据Caprini血栓评估量表进行深静脉栓塞的风险评估;将109例患者随机分为常规组和研究组,常规组采用常规深静脉栓塞预防护理,研究组在常规护理基础上给予物理强化预防措施,观察两组患者深静脉栓塞形成情况。结果:研究组股静脉与腘静脉血流速度、下肢肿胀及深静脉血栓形成发生率、各风险度分级患者深静脉栓塞发生率指标均明显优于常规组,且在高危极高危组中对比差异有统计学意义(P<0.05)。结论:结合Caprini血栓评估量表对患者进行风险评估、分类,并采取定时彩超检查,可为制定个性化的深静脉栓塞预防护理方案提供依据,显著降低深静脉血栓的形成。

Objective:The study was based on Caprini thrombosis assessment scale and the prevention nursing of deep vein embolization of the SICU craniocerebral patient with regular color ultrasound examination.Method:SICU 109 patients with craniocerebral were selected as the research object,admit to hospital and make Double-lower limb blood vessel color ultrasound examination within 24 h,exclude deep vein thrombosis.According to the Caprini thrombus assessment scale,the deep vein thrombosis risk assessment was made.The 109 patients were randomly divided into the regular groups and the research groups.The regular group used deep vein thrombosis prevention and nursing,another group added physical enhancement prevention measures on the basis of regular nursing.Two groups of patients’deep venous thrombosis formational situation was observed.Result:The research groups’indexes of the flow velocity of femoral vein and political vein,the incidence rate of lower limb swelling and deep vein thrombosis,the incidence rate of deep vein thrombosis with different risk grades were significantly better than the regular group,and there was significant difference in high risk and extremely high risk group(P<0.05).Conclusion:Combining Caprini thrombus assessment scale for patients with risk assessment,classification,and adopt color Dopplar ultrasound regularly,to make personalized solutions to provide basis for deep vein thrombosis prevention nursing,significantly reduce the formation of deep vein thrombosis.