Caprini风险评估护理对中青年妇科恶性肿瘤患者术后下肢深静脉血栓形成的影响

Effect of Caprini Risk Assessment Nursing on Lower Extremity Deep Venous Thrombosis in Young and Middle-aged Patients with Gynecologic Malignant Tumor After Operation

目的 探讨Caprini风险评估护理模式对中青年妇科恶性肿瘤患者术后下肢深静脉血栓形成的影响。方法 选取安阳市肿瘤医院妇三科2017年9月到2020年6月行手术治疗的180例恶性肿瘤患者,利用随机数表法分为对照组、观察组,各90例。对照组接受常规风险护理措施,观察组接受Caprini风险评估护理措施,比较两组患者对护理的满意程度、患者下肢周径、血流速度以及凝血功能[活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、凝血酶时间(TT)]水平。结果 观察组护理满意度高于对照组(P<0.05)。观察组患者的下肢周径短于对照组,血流速度快于对照组(P<0.05)。干预后观察组PT、APTT、TT升高幅度均高于对照组(P<0.05)。结论 Caprini风险评估护理模式能够降低中青年妇科恶性肿瘤患者术后下肢深静脉血栓发生率,改善患者下肢深静脉血液淤滞状况,效果明显。

Objective To explore the effect of Caprini risk assessment nursing model on the lower extremity deep venous thrombosis in young and middle-aged patients with gynecologic malignancies after surgery.Methods A total of 180 patients with malignant tumors who underwent surgical treatment from September 2017 to June 2020 in the Third Department of Gynaecology of Anyang Cancer Hospital were selected. They were divided into control group and observation group by random number table method, 90 patients in each group. The control group received routine risk nursing measures, and the observation group received Caprini risk assessment nursing measures. The satisfaction of the two groups of patients with nursing, the patient’s lower limb circumference, blood flow velocity, and the levels of coagulation function [activated partial thromboplastin time(APTT), protothrombin time(PT), thrombin time(TT)] were compared.Results The nursing satisfaction in the observation group was higher than that of the control group(P<0.05). The peripheral diameter of the lower limbs in the observation group was shorter than that in the control group, and the blood flow velocity was faster than that in the control group(P<0.05). After intervention, the increase of PT, APTT and TT in the observation group was higher than that in the control group(P<0.05).Conclusion The Caprini risk assessment nursing model can reduce the incidence of lower extremity deep venous thrombosis in young and middle-aged patients with gynecologic malignant tumor after surgery, and improve the blood stasis of lower limb deep vein. The effect is obvious.