股骨颈骨折术下肢深静脉血栓形成的预防性护理要点

Preventive Nursing Points of Deep Vein Thrombosis of Lower Extremity in Femoral Neck Fracture Surgery

目的探析股骨颈骨折术后下肢深静脉血栓形成的预防性护理要点。方法随机抽选2019年10月至2020年10月本院接收的150例股骨颈骨折术患者,基于随机数表法分为对照组(75例,常规护理)与观察组(75例,预防性护理),对两组的护理效果对比分析。结果在APTT、FIB、AT、D-D水平、ADL评分和Harris评分方面,观察组护理后均比对照组优,差异有统计学意义(P<0.05);在肺栓塞及下肢深静脉血栓总体发生率方面,观察组比对照组低,差异有统计学意义(P<0.05);在护理满意度方面,观察组比对照组高,差异有统计学意义(P<0.05)。结论预防性护理在股骨颈骨折术中应用效果明显,不仅有助于患者凝血功能改善,而且有助于降低肺栓塞及下肢深静脉血栓发生率。

Objective To explore and analyze the preventive nursing points of deep vein thrombosis of lower extremity after femoral neck fracture.Methods A total of 150 cases of femoral neck fracture surgery patients admitted to our hospital from October 2019 to October 2020 were randomly selected and divided into control group(75 cases,routine care)and observation group(75 cases,preventive care)based on the random number table method.The nursing effect of the two groups was compared and analyzed.Results In terms of APTT,FIB,AT,D-D,ADL score and Harris score,the observation group was superior to the control group after nursing,and the difference was significant(P<0.05).In terms of the overall incidence of pulmonary embolism and deep venous thrombosis of lower limbs,the observation group was lower than the control group,with significant differences(P<0.05).In terms of nursing satisfaction,the observation group was higher than the control group,with significant difference(P<0.05).Conclusion The application of preventive nursing in femoral neck fracture is effective,which not only helps to improve the coagulation function of patients,but also helps to reduce the incidence of pulmonary embolism and lower limb deep venous thrombosis.