风险干预护理预防妇科腹腔镜术后DVT发生的效果研究

Research on the Effect of Risk Intervention Nursing on Preventing Occurrence of DVT After Gynecological Laparoscopy Surgery

目的探讨风险干预护理预防妇科腹腔镜术后深静脉血栓(DVT)发生的临床效果。方法96例妇科腹腔镜手术患者随机分为试验组(基于DVT风险列线图模型的风险干预护理,48例)和对照组(常规护理干预,48例),比较两组的血浆D-D水平、DVT发生率、DVT发生时间。结果试验组术后第1 d、第3 d、第5 d、第7 d的D-D水平均低于对照组(P<0.05)。试验组的DVT发生率低于对照组,DVT发生时间迟于对照组(P<0.05)。结论基于DVT风险列线图模型的风险干预护理可以改善妇科腹腔镜手术患者的凝血状态,预防术后DVT的发生。

Objective To explore the clinical effect of risk intervention nursing on preventing occurrence of deep vein thrombosis(DVT)after gynecological laparoscopy surgery.Methods 96 patients with gynecological laparoscopy surgery were randomly divided into the experimental group(risk intervention nursing based on DVT risk nomogram model,48 cases)and the control group(routine nursing intervention,48 cases).The plasma D-D level,the incidence of DVT and the occurrence time of DVT were compared between the two groups.Results The D-D levels at the 1st,3rd,5th,and 7th day after surgery of the experimental group were lower than those in the control group(P<0.05).The incidence of DVT in the experimental group was lower than that in the control group,and the occurrence time of DVT was later than that in the control group(P<0.05).Conclusions Risk intervention nursing based on DVT risk nomogram model can improve the coagulation status of patients with gynecological laparoscopy surgery and prevent the occurrence of postoperative DVT.