脑出血患者下肢深静脉血栓发生危险因素及干预对策研究

Study on Risk Factors and Intervention Strategies of Deep Venous Thrombosis in Patients with Cerebral Hemorrhage

目的分析脑出血患者下肢深静脉血栓发生危险因素及干预对策研究。方法选取该院2015年3月—2017年8月收治的脑出血患者为研究88例对象,出现下肢深静脉血栓为9例,未出现下肢深静脉血栓患者有79例,分析影响出现血栓的原因,分析干预措施。结果糖尿病史、股静脉置管、采用脱水药物2次之上患者出现深静脉血栓比例更高,和未出现此问题患者相比,差异有统计学意义(P<0.05);糖尿病史、采用脱水药物、股静脉置管为下肢深静脉血栓影响因素。结论对脑出血患者于术后要尽量减少血栓形成和出血量,鼓励患者多下床活动,术后服用药物要尽量减少对血管刺激。

Objective To analyze the risk factors and intervention strategies of deep venous thrombosis in patients with cerebral hemorrhage. Methods Eighty-nine patients with cerebral hemorrhage admitted to our hospital from March 2015 to August 2017 were enrolled. Nine patients had deep venous thrombosis of the lower extremity and 79 patients with no deep venous thrombosis of the lower extremity. Results For analyzing interventions. Results The history of diabetes,femoral vein catheterization, and dehydration medications were higher than those with deep venous thrombosis. The difference was statistically significant(P<0.05). Diabetes history, dehydration Drugs, femoral vein catheterization is a factor affecting deep venous thrombosis of the lower extremities. Conclusion Patients with cerebral hemorrhage should minimize the amount of thrombosis and hemorrhage after surgery, encourage patients to get out of bed more often, and try to reduce the vascular stimulation after taking the drug.