预防性护理在减少脑出血术后下肢深静脉血栓形成的效果观察

Effect of Preventive Nursing on Reducing Deep Venous Thrombosis of Lower Extremity After Cerebral Hemorrhage

目的探讨预防性护理在减少脑出血术后下肢深静脉血栓形成的效果观察。方法选取2017年2月-2017年12月在郑州市第七人民医院进行手术治疗的脑出血患者90例,参照随机数字表法分为两组,对照组、观察组每组45例。对照组采取一般性护理,观察组进行预防性护理,比较两组护理后的临床疗效及凝血指标。结果护理后,观察组护理总有效率93.33%(42/45)高于对照组的75.56%(34/45),差异有统计学意义(P<0.05);护理后,两组纤维蛋白原(FIG)、凝血酶原时间(PT)、凝血酶时间(TT)均低于护理前,且观察组上述指标均低于对照组,差异有统计学意义(t=6.333、24.894、9.593,P均=0.000)。结论预防性护理可有效提升临床效果,改善患者凝血指标,有效预防下肢静脉血栓的发生。

Objective To explore the effect of preventive nursing in reducing deep venous thrombosis of lower extremity after intracerebral hemorrhage(ICH). Methods 90 patients with cerebral hemorrhage who underwent surgical treatment in the hospital from February to December, 2018 were randomly divided into two groups: control group(n=45) and observation group(n=45). The control group were given general nursing, and the observation group were given preventive nursing. The clinical efficacy and the formation rate of deep venous thrombosis of lower extremity were compared between the two groups. Results After nursing, the total effective rate in the observation group was 93.33%(42/45), which was significantly higher than that in the control group(75.56%,34/45). There was statistically significant difference(P<0.05). After nursing, FIG, PT and TT of the two groups were all lower than those before nursing, and those of observation group were all lower than the control group, with statistically significant difference(t=6.333, 24.894 and 9.593,P=0.000). Conclusion Preventive nursing can reduce the formation rate of deep venous thrombosis of lower extremity in patients with cerebral hemorrhage after operation, and can effectively improve the clinical effect.