我院普外科围手术期静脉血栓栓塞症预防现状调查分析

Investigation and analysis of prevention on venous thromboembolism during perioperative period of general surgery in a hospital

目的:了解本院普外科围手术期患者静脉血栓栓塞症预防情况。方法:采用回顾性方法,随机抽取本院2020年6月—2020年9月普外科手术病历200份,从电子病历中提取患者的基本资料、静脉血栓栓塞症的危险因素、预防措施及疗程等,并用Caprini评估量表(2009版)进行静脉血栓栓塞症风险评估。结果:本次调查抽取的患者均为低危以上,低危组、中危组及高危组预防率分别为24.32%、54.17%和55.22%;规范率分别为16.21%、35.42%和22.39%,预防疗程最短的1 d,最长至出院,为12 d。结论:本院普外科围手术期静脉血栓栓塞症预防率与规范率均不高,疗程亦存在不足,静脉血栓栓塞症防治的理念有待提高,临床药师应在该项工作中发挥作用。

Objective:Investigation of preventing venous thromboembolism in perioperative patients of general surgery in a general hospital.Methods:This is a retrospective random study.200 patients of general surgery from June 2020 to September 2020 were selected,and the basic information of patients,risk factors of venous thromboembolism,preventive measures,and courses of treatment were extracted from the electronic medical records.Venous thromboembolism risk assessment was performed with the Caprini Scale(2009 version).Results:The patients in this survey were all at low risk or above.The low-risk group,the middle-risk group,and the high-risk group had prevention rates of 24.32%,54.17%,and 55.22%,respectively;normative rates were 16.21%,35.42%,and 22.39%,respectively.The shortest preventive treatment course was 1 day,and the longest was 12 days after discharge.Conclusions:The survey results show that the prevention rate and standardization rate of venous thromboembolism in the perioperative period of general surgery are not high,and the course of treatment is also insufficient.The concept of venous thromboembolism prevention and treatment needs to be improved,and clinical pharmacists should play a role in this work.