针对性护理在腹腔镜阑尾切除术老年急性阑尾炎患者术后下肢深静脉血栓中的应用

Application of targeted nursing in lower extremity deep vein thrombus after laparoscopic appendectomy in elderly patients with acute appendicitis

目的分析针对性护理在腹腔镜阑尾切除术(LA)老年急性阑尾炎患者术后下肢深静脉血栓中的应用价值。方法选取2018年10月~2019年10月我院收治的80例LA的老年急性阑尾炎患者作为研究对象,按照奇偶数分组法分成对照组(n=50)和研究组(n=50)。对照组采用常规护理方法,研究组采用针对性护理方法。比较两组的下肢深静脉血栓发生率、术后1、3及7 d的血清D-二聚体(D-D)水平和纤维蛋白原(FIB)水平及护理满意度。结果研究组的下肢深静脉血栓发生率低于对照组,差异有统计学意义(P<0.05)。术后1 d,两组的D-D水平比较,差异无统计学意义(P>0.05),但术后3及7 d,研究组的D-D水平低于对照组,差异均有统计学意义(P<0.05)。研究组术后1、3及7 d的FIB水平低于对照组,差异均有统计学意义(P<0.05)。研究组的护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论对LA老年急性阑尾炎患者的实施针对性护理有助于预防术后下肢深静脉血栓形成,促进术后早日恢复,在临床有积极的推广意义。

Objective To analyze the application value of targeted nursing care in elderly patients with acute appendicitis after laparoscopic appendectomy(LA)in the lower thrombosis.Methods A total of 80 elderly patients with acute appendicitis who underwent LA in our hospital from October 2018 to October 2019 were selected and divided into control group(n=50)and study group(n=50)according to the pattern of odd and even numbers,the control group received routine nursing and the study group received targeted nursing.The incidence of lower extremity thrombosis,the levels of D-Dimer(D-D),fibrinogen(FIB)and satisfaction with nursing care were compared between the two groups at 1,3 and 7 days after operation.Results The incidence of lower limb thrombosis in the study group was lower than that in the control group(P<0.05).There was no significant difference in D-D level between the two groups on the 1st day after operation(P>0.05),but the D-D level of the study group at 3 and 7 d after operation was lower than that of the control group(P<0.05).The level of FIB in the study group at 1,3 and 7 d postoperatively was lower than that in the control group(P<0.05).The total satisfaction of nursing in the study group was higher than that in the control group(P<0.05).Conclusion The application of targeted nursing care in elderly patients with acute appendicitis after LA is helpful to prevent the formation of lower limb thrombosis and promote the early recovery after appendectomy.