护理管理对预防胆囊手术患者术后下肢深静脉血栓形成的效果探讨

The Effect of Nursing Management on the Formation of Deep Vein Thrombosis in the Lower Limbs after the Operation of the Patients with the Gall Bladder

目的探讨护理管理对于胆囊手术后下肢深静脉血栓形成(DVT)的预防效果。方法选择2013年6月-2018年10月在该院行胆囊手术治疗的72例患者,随机分为两组各36例,对照组入院后给予常规护理,观察组针对DVT加强围手术期护理管理,对比两组术后血凝指标及DVT发生率。结果术后第7天观察组活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、纤维蛋白原(FIB)指标均明显优于对照组,观察组有1例患者发生DVT,发生率为2.78%,明显低于对照组,两组差异有统计学意义(P<0.05)。结论在胆囊手术围手术期加强护理管理有利于预防术后DVT的形成,临床价值突出。

Objective To explore the preventive effect of nursing management on(DVT) of lower extremity deep venous thrombosis after gallbladder operation. Methods From June 2013 to October 2018, 72 patients undergoing gallbladder surgery in our hospital were randomly divided into two groups: 36 patients in each group. The control group was given routine nursing after admission. The observation group strengthened perioperative nursing management for DVT, and compared the postoperative hemagglutination index and the incidence of DVT between the two groups. Results On the7 th day after operation, the activated partial thromboplastin time(APTT), prothrombin time(PT), fibrinogen(FIB) index in the observation group was significantly better than that in the control group. The incidence of DVT, in the observation group was 2.78%, which was significantly lower than that in the control group(P<0.05). Conclusion Strengthening nursing management during perioperative period of gallbladder operation is beneficial to prevent the formation of DVT after operation, and the clinical value is outstanding.