胸腰椎骨折术后深静脉血栓的预防与护理

Prevention and Nursing of Deep Venous Thrombosis After Thoracolumbar Vertebral Fracture Operation

探讨护理干预对胸腰椎骨折患者术后深静脉血栓的预防效果。选取64例胸腰椎骨折患者,随机分为常规组与护理组,每组各32例。两组患者均行胸腰椎骨折内固定术,术后常规组给予常规护理,护理组给予护理干预,观察并比较两组患者的深静脉血栓发生率、凝血四项指标及护理满意度。两组患者护理前的凝血四项指标组间数据无显著差异(P>0.05)。护理后,护理组的凝血酶原时间及活化部分凝血活酶时间均显著长于常规组,血浆纤维蛋白原和D-二聚体显著低于常规组(P<0.05),差异具有统计学意义。护理组的深静脉血栓发生率为3.13%,显著低于常规组的9.38%,护理组患者的护理满意度达96.86%,显著高于常规组的81.25%(P<0.05),差异具有统计学意义。对胸腰椎骨折术后患者进行护理干预可以有效降低深静脉血栓的发生率,促进患者的恢复。

The research explores the preventive effect of nursing intervention on deep venous thrombosis of patients with thoracolumbar vertebral fracture.64 patients with thoracolumbar vertebral fracture are selected,and they are randomly divided into routine group and nursing group,with 32 patients in each group.Patients of two groups receive thoracolumbar vertebral fracture internal fixation.After operation,routine group receive routine nursing,and nursing group receive nursing intervention.Deep venous thrombosis occurrence rates,four indicators of coagulation and nursing satisfaction of two groups are compared.There is no statistically significant difference in four indicators of coagulation before nursing(P>0.05).After nursing,the prothrombin time and excitation of part prothrombine time of nursing group are significantly longer than routine group,and plasma fibrinogen and D-dimer are significantly lower than routine groups,with statistically significant difference(P<0.05).The deep venous thrombosis occurrence rate of nursing group is 3.13%,which is significantly lower than 9.38%in routine group.The nursing satisfaction of nursing group is 96.86%,which is significantly higher than 81.25%in routine group,with statistically significant difference(P<0.05).Nursing intervention after thoracolumbar vertebral fracture operation can effectively reduce the occurrence rate of deep venous thrombosis,and promote the recovery of patients.