经皮肾镜碎石取石术后下肢深静脉血栓的预防性护理分析与探究

Analysis and Exploration of Preventive Nursing Care for Deep Vein Thrombosis of Lower Limbs after Percutaneous Nephrolithotomy

目的分析并探究在经皮肾镜碎石术后下肢深静脉血栓的预防性护理效果。方法于2017年1月—2019年12月期间,选取该院收治的72例行经皮肾镜碎石取石术治疗肾输尿管结石患者为研究对象,随机将其分为参照组、试验组,各36例。前者予以常规护理,后者在常规护理基础上予以预防性护理干预。观察以下指标:①两组患者经护理后的各项临床指标;②下肢深静脉血栓发生率;③护理满意度。结果①经护理后,试验组患者留置尿管时间(1.29±0.16)d短于参照组(2.29±0.25)d,术后下床时间(3.01±0.12)d短于参照组(4.04±0.15)d,住院时间(5.28±1.27)d短于参照组(7.22±1.20)d,对比差异有统计学意义(t=20.215、32.172、6.662,P<0.05);②试验组患者下肢深静脉血栓发生率2.78%低于参照组25.00%,对比差异有统计学意义(χ2=7.432,P=0.006);③试验组患者护理满意度97.22%高于参照组77.78%,对比差异有统计学意义(χ2=4.571,P=0.033)。结论对经皮肾镜碎石术治疗患者,在常规护理基础上予以预防性护理干预,能够有效预防下肢深静脉血栓形成,缩短住院时间,提升患者护理满意度,护理效果显著,具有推广应用价值。

Objective To analyze and explore the preventive nursing effect of deep vein thrombosis of lower limbs after percutaneous nephrolithotomy.Methods From January 2017 to December 2019,72 patients with renal ureteral calculi treated by percutaneous nephrolithotomy in our hospital were selected as the research subjects,and they were randomly divided into a reference group and a test group.36 cases in each group.The former was given routine care,and the latter was given preventive nursing intervention on the basis of routine care.Observed the following indicators:1.the clinical indicators of the two groups of patients after nursing;2.the incidence of deep vein thrombosis of the lower extremities;3.nursing satisfaction.Results 1.After nursing,the indwelling time(1.29±0.16)d of the urinary catheter in the test group was shorter than that of the reference group(2.29±0.25)d,and the time to get out of bed(3.01±0.12)d was shorter than the reference group(4.04±0.15)d,the length of hospital stay(5.28±1.27)d was shorter than that of the reference group(7.22±1.20)d,the difference were statistically significant(t=20.215,32.172,6.662,P<0.05);2.Lower limbs of the test group The incidence of deep vein thrombosis 2.78%was lower than that of the reference group 25.00%,and the difference was statistically significant(χ2=7.432,P=0.006);3.The nursing satisfaction of patients in the experimental group 97.22%was higher than that of the reference group 77.78%,the difference was statistically significant(χ2=4.571,P=0.033).Conclusion For patients treated by percutaneous nephrolithotomy,preventive nursing intervention on the basis of routine nursing can effectively prevent deep vein thrombosis of lower extremities,shorten hospitalization time,improve patient care satisfaction,and have significant nursing effects,which has the value of promotion and application.