探究早期活动对脑出血患者术后下肢深静脉血栓形成的预防作用

Exploring the Preventive Effect of Early Activities on Postoperative Deep Venous Thrombosis of Patients with Cerebral Hemorrhage

目的 分析早期活动护理对预防脑出血患者术后下肢深静脉血栓形成的应用价值。方法 遵循随机原则从该院于2017年1月-2019年1月收治且给予相应手术治疗的众多脑出血患者随机选择54例纳为该次实验研究样本,并根据临床护理方案的差异性将其分为传统组与创新组,每组27例。传统组患者予以常规性护理,创新组患者在常规护理基础上实施早期活动护理方案,观察两组患者的护理认可度、术后下肢深静脉血栓形成率以及FM评分(运动能力评价定量表)与barthel指数(巴氏指数日常生活功能评定量表)情况。结果 实施不同护理方案后,创新组的护理总认可度96.30%高于传统组的77.78%,差异有统计学意义(χ^2=4.100,P<0.05);创新组患者的术后下肢深静脉血栓发生率为7.41%低于传统组患者的29.63%,差异有统计学意义(χ^2=4.420,P<0.05);创新组患者FM评分与barthel指数为(86.75±5.80)分,(78.48±6.15)分高于传统组的(62.28±4.15)分,(50.65±5.45)分,差异有统计学意义(t=7.910、6.930,P<0.05)。结论 在采用用药指导等措施对脑血栓手术患者行常规性护理的同时指导其进行早期活动,不仅能够最小化其术后下肢深静脉血栓的发生率,并且还有利于在不断优化其运动功能与日常生活功能的基础上进一步提高其对临床医护工作的认可度,值得临床借鉴与推广。

Objective To analyze the value of early active care in preventing postoperative deep venous thrombosis of patients with cerebral hemorrhage.Methods According to the random principle,54 patients with cerebral hemorrhage who were admitted to the hospital from January 2017 to January 2019 and given corresponding surgical treatment were randomly selected as samples for this experimental study,and were divided according to the differences of clinical nursing programs:the traditional group and the innovation group,27 cases in each group.Patients in the traditional group were given routine care.The patients in the innovative group were treated with routine care on the basis of routine care.The nursing acceptance of the two groups,the postoperative deep venous thrombosis rate and the FM score(the exercise capacity evaluation scale)were observed as well as the Barthel index(Pap's index daily life function rating scale)situation.Results After the implementation of different nursing programs,the total recognition of the innovative group was 96.30%higher than that of the traditional group(77.78%),the difference was statistically significant(χ^2=4.100,P<0.05);the postoperative deep venous thrombosis of the lower limbs in the innovative group was 7.41%lower than that of the traditional group(29.63%),the difference was statistically significant(χ^2=4.420,P<0.05).The FM score and barthel index of the innovative group were(86.75±5.80)points,(78.48±6.15)points higher than the traditional one(62.28±4.15)points,(50.65±5.45)points.The difference between the groups was statistically significant(t=7.910,6.930,P<0.05).Conclusion The use of medication guidance and other measures to guide patients with cerebral thrombosis while guiding their early activities can not only minimize the incidence of postoperative deep venous thrombosis,but also help to optimize their motor function.On the basis of daily life functions,it further enhances its recognition of clinical health care work,which is worthy of clinical reference and promotion.