预防护理对妇科肿瘤手术围手术期预防下肢深静脉血栓形成的效果

Effect of Preventive Nursing on Preventing Deep Venous Thrombosis of Lower Limbs in Perioperative Period of Gynecological Tumor Operation

目的探讨预防护理对妇科肿瘤手术围手术期下肢深静脉血栓形成的预防效果。方法选取2018年5月至2019年5月在本院行手术治疗的90例妇科肿瘤患者,根据护理方式分为预防组和常规组,各45例。常规组患者按妇科肿瘤手术围术期要求进行术前常规护理,预防组在常规组基础上增加下肢深静脉血栓个体化预防护理,对比两组术后下肢肿胀和下肢深静脉血栓形成发生率,同时监测两组患者其他并发症发生率和术后住院时间。结果预防组患者术后下肢肿胀发生率(6.67%,3/45)显著低于常规组(22.22%,10/45),差异具有统计学意义(P <0.05)。预防组左下肢(2.22%,1/45)和右下肢发生率(0)均低于常规组(11.11%,4/45;8.89%,4/45),但无显著差异(P> 0.05);预防组下肢深静脉血栓形成(2.22%,1/45)总发生率显著低于常规组(17.78%,8/45),差异具有统计学意义(P <0.05)。预防组术后各类其他并发症发生率均低于常规组,但无显著差异(P> 0.05);预防组术后其他并发症总发生率(8.88%,4/45)显著低于常规组(22.22%,10/45),差异具有统计学意义(P <0.05)。预防组术后住院时间为(4.15±2.03)d,常规组为(6.53±2.46)d,差异具有统计学意义(P <0.05)。结论妇科肿瘤围手术期针对下肢深静脉血栓形成进行个体化预防护理可有效降低该并发症风险,并有助于预防其他并发症形成,促进患者尽快康复出院,临床应用价值较高。

Objective To explore the preventive effect of preventive nursing on deep venous thrombosis of lower extremity during perioperative period of gynecologic tumor surgery. Methods Ninety patients with gynecologic oncology who underwent surgery in our hospital from May 2018 to May 2019 were divided into prevention group and routine group according to the nursing method, 45 cases each. The patients in the routine group underwent routine preoperative care according to the perioperative requirements of gynecologic tumor surgery. The prevention group increased the individualized prevention and treatment of deep venous thrombosis of the lower extremities on the basis of the routine group, and compared the incidence of lower extremity swelling and deep venous thrombosis of the lower limbs. At the same time, the incidence of other complications and postoperative hospital stay were monitored. Results The incidence of postoperative lower extremity swelling in the prevention group(6.67%, 3/45) was significantly lower than that in the conventional group(22.22%, 10/45), and the difference was statistically significant(P<0.05). The incidence of left lower extremity(2.22%, 1/45) and right lower extremity(0) in the prevention group was lower than that in the conventional group(11.11%, 4/45;8.89%, 4/45), but there was no significant difference(P>0.05). The total incidence of deep venous thrombosis(2.22%, 1/45) in the prevention group was significantly lower than that in the conventional group(17.78%, 8/45), and the difference was statistically significant(P<0.05). The incidence of other complications in the prevention group was lower than that in the conventional group, but there was no significant difference(P>0.05). The total incidence of other complications in the prevention group(8.88%, 4/45) was significantly lower than that in the conventional group.(22.22%, 10/45), the difference was statistically significant(P<0.05). The postoperative hospital stay was(4.15±2.03) days in the prevention group and(6.53±2.46)days in the conventional group. The difference was statistically significant(P<0.05). Conclusion Individualized preventive nursing for deep venous thrombosis of lower extremities in gynecological tumors can effectively reduce the risk of complications and help prevent the formation of other complications, and promote the recovery and discharge of patients as soon as possible. The clinical application value is higher.