静脉血栓栓塞风险评估下的分级护理在妇科肿瘤术后患者中的应用效果

Application Effect of Graded Nursing Care Under Venous Thromboembolism Risk Assessment in Gynecological Tumor Patients After Surgery

目的:探究静脉血栓栓塞(VTE)风险评估下的分级护理在妇科肿瘤术后患者中的应用效果。方法:选取2022年1月—2023年10月于六盘水市妇幼保健院行妇科肿瘤手术患者作为研究对象,随机分为对照组和观察组,各40例。对照组实施常规护理,观察组实施VTE风险评估下的分级护理。比较两组深静脉血栓(DVT)发生率、凝血功能指标、股静脉血流速度。结果:观察组发生DVT 0例,对照组发生DVT 6例,观察组DVT发生率(0)较对照组(15.00%)低(P<0.05)。护理前,两组活化部分凝血活酶时间(a PTT)、凝血酶原时间(PT)、D-二聚体(D-D)、股静脉血流速度比较,差异无统计学意义(P>0.05);护理后,两组a PTT、PT、股静脉血流速度低于护理前,且观察组较对照组低,两组D-D水平低于护理前,且观察组较对照组低(P<0.05)。结论:VTE风险评估下的分级护理在妇科肿瘤术后患者中的应用效果较好,能够改善患者的凝血功能和股静脉血流速度,降低DVT发生率。

Objective:To investigate the application effect of graded nursing care under venous thromboembolism(VTE) risk assessment in gynecological tumor patients after surgery.Methods:Eighty patients undergoing gynecological tumor surgery in Liupanshui Maternal and Child Care Service Hospital from January 2022 to October 2023 were selected as the study subjects.They were randomly divided into control group and observation group,with 40 cases in each group.The control group received routine nursing care and the observation group received graded nursing care under VTE risk assessment.The incidence of deep vein thrombosis(DVT),coagulation function indexes and femoral vein blood flow velocity were compared between the two groups.Results:0 cases in the observation group and 6 cases in the control group developed DVT,and the incidence of DVT in the observation group(0) was lower than that in the control group(15.00%)(P<0.05).Before nursing,there was no significant difference in activated partial thromboplastin time(a PTT),prothrombin time(PT),D-dimer(D-D) and femoral vein blood flow velocity between the two groups(P>0.05).After nursing,the a PTT,PT and femoral vein blood flow velocity in the two groups were lower than those before nursing,and these indexes in the observation group were lower than those in the control group,while the D-D levels in the two groups were lower than those before nursing,and this index in the observation group was lower than that in the control group(P<0.05).Conclusion:The graded nursing care under VTE risk assessment has a good effect in gynecological tumor patients after surgery,and can improve the coagulation function and femoral vein blood flow velocity of patients,and reduce the incidence of DVT.