糖尿病患者人工全膝关节置换术后深静脉血栓形成的有效预防

Effective Prevention of Deep Vein Thrombosis after Diabetic Total Knee Replacement

目的 探究糖尿病患者人工全膝关节置换术后深静脉血栓形成的有效预防.方法 选取2017年5月—2019年3月在该院接受人工全膝关节置换术治疗的糖尿病患者30例,对照组采取常规护理,观察组实施循证护理,考察患者的血栓形成情况、超声检查结果、血液学指标及血浆凝血指标情况.结果 两组患者均未出现深静脉血栓,两组患者均未出现深静脉血栓,观察组超声检查结果血流瘀滞发生率(6.67%)显著低于对照组(26.67%),观察组的D-二聚体含量显著低于对照组,观察组的活化部分凝血酶原时间显著长于对照组(P<0.05).结论 循证护理可以有效预防糖尿病患者人工全膝关节置换术后深静脉血栓的形成.

Objectiv e To explore the effective prevention of deep vein thrombosis after diabetic total knee replacement.Methods From May 2017 to March 2019,30 diabetic patients underwent artificial total knee arthroplasty in the hospital.The control group took routine care.The observation group implemented evidence-based nursing.The patients were examined for thrombosis and ultrasound examination results,hematological indicators and plasma coagulation indicators.Results There was no deep vein thrombosis in the two groups of patients,and no deep vein thrombosis in the two groups.The incidence of blood stasis(6.67%)in the observation group was significantly lower than that in the control group(26.67%).The content of D-dimer was significantly lower than that of the control group,and the activated partial prothrombin time of the observation group was significantly longer than that of the control group(P<0.05).Conclusion Evidence-based nursing can effectively prevent the formation of deep vein thrombosis after diabetic total knee replacement.