中药热奄包联合优质护理预防老年髋部骨折患者深静脉血栓形成的效果

Chinese Medicine Heat-preservation Package Combined with High-quality Nursing in the Prevention of Deep Vein Thrombosis in Elderly Patients with Hip Fracture

目的探索中药热奄包联合优质护理预防老年髋部骨折患者深静脉血栓形成的价值。方法以2020年1月—2022年1月江西省泰和县中医院收治的60例老年髋部骨折患者作为此次试验研究的对象,将患者随机分为两组,其中对照组30例,观察组30例。对照组采用常规护理,观察组则在常规护理基础上采用中药热奄包联合优质护理。比较两组患者护理满意度、护理后凝血指标情况。结果观察组总满意度为96.7%(29/30),高于对照组的66.7%(20/30)(P<0.05);治疗后,观察组国际标准化比值高于对照组(P<0.05);凝血功能指标(D-2聚体、凝血酶原时间、纤维蛋白原)水平均低于对照组(P<0.05)。结论老年髋部骨折患者在常规护理基础上采用中药热奄包联合优质护理很大程度降低了形成深静脉血栓的概率,并且减轻了痛苦及治疗费用,是一种值得推广运用的全新护理方案。

Objective To explore the application value of Chinese medicine heat-preservation package combined with high-quality nursing for deep vein thrombosis in elderly patients with hip fracture.Methods A total of 60 elderly patients with hip fracture admit⁃ted to Taihe County Hospital of Traditional Chinese Medicine from January 2020 to January 2022 were selected as the objects of this study.The patients were randomly divided into two groups,including 30 cases in the control group and 30 cases in the observation group.The control group was given routine nursing.The observation group were treated with Chinese medicine heat-preservation pack⁃age combined with high-quality nursing care on the basis of routine nursing care.The nursing satisfaction and the coagulation indexes of the two groups after nursing were compared.Results The total satisfaction rate of the observation group(96.7%,29/30)was higher than that of the control group(66.7%,20/30)(P<0.05).After treatment,the international normalized ratio of the observation group was lower than that of the control group.The coagulation function indexes(D-2 polymers,prothrombin time and fibrinogen)of the observa⁃tion group was higher than that of the control group(P<0.05).Conclusion On the basis of routine nursing,the elderly patients with hip fracture were treated with Chinese medicine heat-preservation package combined with high-quality nursing,which greatly reduces the probability of forming deep vein thrombosis and reduces the pain and treatment cost.It is a new nursing project,which is worth popularizing and applying in clinical nursing.