基于Caprini风险评估模型的循证护理在妇科腹腔镜手术患者静脉血栓栓塞症预防中的应用

Application of Evidence-based Nursing Based on Caprini Risk Assessment in the Prevention of VTE in Gynecological Laparoscopic Surgery Patients

目的 探讨基于Caprini风险评估模型的循证护理在妇科腹腔镜手术患者静脉血栓栓塞症(VET)预防中的应用效果。方法 纳入本院妇科行腹腔镜手术患者200例,并按照随机原则分为对照组和试验组,每组100例。其中,对照组予常规护理,试验组结合Caprini风险评估结果行循证护理。对比两组红细胞聚集指数、静脉血流速度及VTE发生率。结果 试验组术后VTE发生率低于对照组,组间比较差异有统计学意义(P=0.036);术后第3d,试验组红细胞聚集指数低于对照组,PT和血流速高于对照组(P<0.05)。结论 基于Caprini风险评估模型的循证护理能有效预防妇科腹腔镜手术患者VET的发生,值得临床推广。

Objective To explore the application effect of evidence-based nursing based on Caprini risk assessment model in the prevention of venous thromboembolism in gynecological laparoscopic surgery patients.Methods 200 gynecological patients undergoing laparoscopic surgery in our hospital were included.VTE risk assessment was performed by Caprini risk model.The control group received routine nursing,and the experimental group received evidence-based nursing combined with Caprini risk assessment results.Red blood cell aggregation,venous flow velocity and VTE were compared between two groups.Results The incidence of postoperative VTE was 3% in the experimental group,and with significant difference between groups(P =0.036).After operation,the erythrocyte aggregation index in experimental group was lower than control group,and PT and blood flow velocity were higher than control group(P<0.05).Conclusion Evidence-based nursing based on Caprini risk assessment model can effectively prevent the occurrence of venous thromboembolism in gynecological laparoscopic surgery patients,and is worthy of clinical promotion.