人工关节置换术后下肢深静脉血栓形成的预防及护理

Nursing about deep veinous thrombosis(DVT) of lower extremities after artificial Joint Prosthesis

目的 :探讨人工关节置换术后患者的护理方法 ,降低人工关节置换术后下肢深静脉血栓形成 (DVT)的发生率。方法 :总结 96例人工关节置换术后的护理经验。从病因出发 ,采取针对性的预防护理措施 ,如抬高患肢 ,减少局部压迫 ,早期积极活动 ,指导并协助患者进行早期功能训练 ,采取预防性的抗凝治疗 ,以促进静脉回流等 ,并在护理过程中注意观察患者肢体血液循环情况 ,一旦有DVT发生 ,及早治疗。结果 :人工关节置换术 96例中 ,仅 5例发生DVT ,发生率为 5 2 %。结论 :明确病因 ,采取预防性的护理措施 。

Objective:To explore nursing method for artificial Joint prothesis,so lower DVT incidence.Method:96 cases had been analysed for drawing up the nursing experience.Result:96 cases show 5 2% DVT incidence.Conclusion:Related nursing measures such as elevation of extremities,freedom from compression,active movement,functional exenise,anticoagulation treatment,improvement of veinous reflux can lower DVT incidence.