预防性护理干预对腰椎间盘胶原酶溶解术后下肢深静脉血栓的影响

THE EFFECT OF PREVENTIVE NURSING INTERVENTION ON DEEP VENOUS THROMBOSIS OF PATIENTS WITH LUMBAR DISC HERNIATION AFTER COLLAGENASE CHEMONUCLEOLYSIS

目的:探讨预防性护理干预措施对腰椎间盘突出症病人胶原酶溶解术后下肢深静脉血栓形成(deep venous thrombosis,DVT)的影响。方法:将120例腰椎间盘突出症胶原酶溶解术后病人随机分成两组,每组60例,A组为对照组(一般护理组),于胶原酶溶解术后给予常规护理;B组为观察组(预防性护理干预组),于胶原酶溶解术后给予常规护理加预防性护理干预措施。比较A、B两组病人DVT发生率和血浆D-二聚体水平。结果:B组病人DVT发生率和D-二聚体水平均低于A组,且二者具有统计学差异(P<0.05)。结论:预防性护理干预措施有助于减少腰椎间盘突出症病人胶原酶溶解术后DVT的发生。

Objective:To study the effect of preventive nursing intervention on deep venous thrombosis(DVT)of patients with lumbar disc herniation after collagenase chemonucleolysis.Methods:One hundred and twenty cases with prolapse of lumbar intervertebral disc receiving collagenase chemonucleolysis were randomly divided into two groups.Group A was the control group,in which patients received routine nursing care after collagenase chemonucleolysis.Group B was the observation group,in which patients received routine nursing and preventive nursing intervention after collagenase chemonucleolysis.The incidence of DVT and the level of D-dimer in blood plasma of patients were compared between the two groups.Results:The incidence of DVT and the level of D-dimer in group A were lower than those in group B,and the difference between the two groups was statistically significant.Conclusions:Preventive nursing intervention is helpful to reduce the occurrence of DVT after collagenase chemonucleolysis in patients with lumbar disc herniation.