Caprini风险评估在预防关节置换术后患者深静脉血栓中的应用效果

Caprini risk assessment for prevention of deep venous thrombosis after joint replacement

目的探讨基于Caprini风险评估的护理干预对预防关节置换术后深静脉血栓(deep venous thrombosis,DVT)的效果。方法选取我科2016年6月-2017年6月行膝关节置换术的患者100例,采用随机数字表法将其分为对照组与观察组,各50例。对照组予以常规护理,观察组实施基于Caprini风险评估的护理。比较2组患者患肢疼痛、肿胀程度、DVT发生情况。结果观察组未发生DVT,对照组出现3例肌间静脉血栓。2组术后的疼痛、肿胀程度在组间、时间和交互效应上均有统计学差异(P<0.05)。结论运用Caprini量表进行风险评估,并依据风险程度合理实施护理,可有效降低关节置换术后并发症的发生率。

Objective To investigate the effect of the Caprini risk assessment on the prevention of deep venous thrombosis(DVT)in patients undergoing the joint replacement surgery.Methods A total of 100 patients undergoing total knee arthroplasty were selected and randomly divided into a control group and an experimental group.The control group was given routine nursing care,while the experimental group was given nursing care based on the Caprini risk assessment.The pain and swelling of the limbs,and the incidence of DVT were compared between the two groups.Results DVT of pulmonary vein embolism occurred in 3 cases of the control group,but none in the experimental group.Significant differences were observed in the pain and swelling of the both groups after the intervention.Conclusion Nursing care based on the Caprini risk assessment,can effectively prevent postoperative DVT after arthroplasty and promote patients′compliance.