优质护理预防神经外科重症监护患者下肢深静脉血栓形成的效果观察

Effect Observation of High-Quality Nursing on Preventing Lower Extremity Deep Vein Thrombosis in Neurosurgical Intensive Care Patients

目的:分析优质护理预防神经外科重症监护患者下肢深静脉血栓形成(DVT)的效果。方法:选取2019年12月-2020年12月阳江市人民医院神经外科收治的重症患者60例为研究对象,随机分为观察组和常规组,各30例。常规组给予基础护理,观察组给予优质护理,比较两组患者DVT发生率、小腿周径、疼痛指数及血流动力学指标。结果:观察组术后1周、术后3周DVT发生率均低于常规组,差异有统计学意义(P<0.05)。治疗前,两组小腿周径比较,差异无统计学意义(P>0.05);术后1周、术后3周,观察组小腿周径小于常规组,差异有统计学意义(P<0.05)。治疗前,两组患者疼痛指数比较,差异无统计学意义(P>0.05);治疗后,观察组疼痛指数低于常规组,差异有统计学意义(P<0.05)。治疗前,两组血流峰速度(Vp)、血清量(BF)及血流平均速度(Va)比较,差异无统计学意义(P>0.05);治疗后,观察组Vp、Va及BF高于常规组,差异有统计学意义(P<0.05)。结论:为神经外科重症患者采取优质护理,具有较高的临床价值,能够降低DVT发生率,改善血流动力学指标,缓解患者的疼痛症状。

Objective:To analyze the effect of high-quality nursing on preventing lower extremity deep vein thrombosis(DVT)in neurosurgical intensive care patients.Methods:From December 2019 to December 2020,60 critically ill patients admitted to the Department of Neurosurgery of People's Hospital of Yangjiang were selected as the study subjects,and they were randomly divided into observation group and conventional group,with 30 cases in each group.The conventional group was given basic nursing,and the observation group was given high-quality nursing.The incidence of DVT,calf circumference,pain index and hemodynamic indexes were compared between the two groups.Results:The incidence of DVT in the observation group was lower than that in the conventional group at 1 week and 3 weeks after surgery,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in calf circumference between the two groups(P>0.05).At 1 week and 3 weeks after surgery,the calf circumference in the observation group was smaller than that in the conventional group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in the pain index between the two groups(P>0.05).After treatment,the pain index in the observation group was lower than that in the conventional group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in peak velocity of blood flow(Vp),blood flow volume(BF)and mean velocity of blood flow(Va)between the two groups(P>0.05).After treatment,the Vp,Va and BF in the observation group were higher than those in the conventional group,and the difference was statistically significant(P<0.05).Conclusion:High-quality nursing for severe patients of neurosurgery department has high clinical value,it can reduce the incidence of DVT,improve hemodynamic indexes,and relieve the pain symptoms of patients.