风险管理对股骨颈骨折术后深静脉血栓形成的预防效果

Effect of risk management on prevention of deep venous thrombosis after operation of femoral neck fracture

目的探讨风险管理对股骨颈骨折术后深静脉血栓形成的预防效果。方法选取2018年1月至2019年12月在我院接受手术治疗的100例股骨颈骨折患者作为研究对象,采用随机数字表法将其分为对照组和观察组,各50例。对照组采用常规护理干预,观察组采用风险管理。比较两组的干预效果。结果干预后,两组凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)长于干预前,纤维蛋白原(FIB)及D-二聚体(D-D)水平低于干预前,且观察组优于对照组,差异具有统计学意义(P<0.05)。观察组术后深静脉血栓形成率为6.00%,低于对照组的20.00%,差异具有统计学意义(P<0.05)。观察组护理满意度为92.00%,高于对照组的76.00%,差异具有统计学意义(P<0.05)。结论风险管理在股骨颈骨折患者术后深静脉血栓预防中的作用显著,可有效改善患者的凝血功能指标,降低术后深静脉血栓形成率,提高患者满意度,具有较高的应用及推广价值。

Objective To explore the effect of risk management on prevention of deep venous thrombosis after operation of femoral neck fracture.Methods From January 2018 to December 2019,100 patients with femoral neck fracture received surgically treatment in our hospital were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 50 cases in each group.The control group was given routine nursing intervention,and the observation group was given risk management.The intervention effects of the two groups were compared.Results After intervention,prothrombin time(PT)and activated partial thromboplastin time(APTT)in the two groups were longer than those before intervention,fibrinogen(FIB)and D-dimer(D-D)levels were lower than those before intervention,and those in the observation group were better than the control group,the differences were statistically significant(P<0.05).The incidence of deep venous thrombosis after operation in the observation group was 6.00%,which was lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction in the observation group was 92.00%,which was higher than 76.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Risk management plays a significant role in the prevention of deep venous thrombosis in patients with femoral neck fracture after operation,it can effectively improve the coagulation function index of patients,reduce the incidence of deep venous thrombosis after operation,and improve the satisfaction of patients,which has high application and promotion value.