神经外科下肢深静脉血栓形成因素及知行干预

Risk factors of deep venous thrombosis and intervention effect of standardized group cognitive behaviors in neurosurgery patients

目的:探讨神经外科患者下肢深静脉血栓(DVT)形成的危险因素及规范化小组认知行为干预效果。方法:选取某医院收治的160例神经外科住院患者,采用单因素分析和多因素Logistic回归分析下肢DVT形成的危险因素。同时,采用随机数字表法将54例DVT患者划分为观察组和对照组,每组27例患者,对照组患者接受常规护理,观察组患者在对照组基础上采用规范化小组认知行为干预。结果:多因素Logistic回归分析,肢体瘫痪、卧床时间4~7 d等为独立危险因素;两组DVT患者经干预后,观察组患者NIHSS评分、D-D水平和DVT复发率低于对照组(P<0.05),FMA评分、TT、PT和APTT高于对照组(P<0.05)。结论:知晓高危因素,经规范化小组认知行为干预后,可明显减少DVT复发,改善患者神经、运动和凝血功能。

Objective:To explore the risk factors of deep vein thrombosis(DVT)in neurosurgery patients and the effect of standardized group cognitive behavior intervention.Methods:A total of 160 neurosurgery inpatients admitted to hospital were selected,and single factor analysis and multivariate Logistic regression were used to analyze the risk factors of lower limb DVT.At the same time,54 cases of DVT patients were divided into observation group and control group,27 cases/group by random number table;the control group was given routine care,and the observation group adopted standardized group cognitive behavior intervention on the basis of the control group.Results:Multivariate logistic regression analysis showed that limb paralysis and bed time of 4-7 days were independent risk factors.After intervention in the two groups of DVT patients,the NIHSS score,DD level and DVT recurrence rate of the observation group were lower than those of the control group(P<0.05).FMA score,TT,PT and APTT were higher than the control group(P<0.05).Conclusion:Knowing the high-risk factors after a standardized group of cognitive behavior intervention,can significantly reduce the recurrence of DVT,and improve the patient's neurological,motor,and coagulation functions.