术后强化护理干预对下肢骨折老年患者便秘及下肢静脉血栓的影响

Effect of Postoperative Intensive Nursing Intervention on Constipation and Lower Extremity Venous Thrombosis in Elderly Patients with Lower Limb Fracture

目的分析术后强化护理干预对下肢骨折老年患者便秘及下肢静脉血栓的影响。方法选择2017年1月—2018年1月该院收治90例下肢骨折老年患者并分成两组,对照组45例使用常规护理,研究组45例使用强化护理,对两组患者便秘及下肢静脉血栓发生情况比较。结果研究组自发排便、粪便形状、腹胀情况以及排便费力评分(1.95±0.35)分、(1.94±0.35)分、(2.04±0.33)分、(1.78±0.40)分优于对照组,差异有统计学意义(P<0.05);研究组便秘发生率为4.44%,低于对照组15.55%,差异有统计学意义(P<0.05);研究组下肢深静脉流速及DVT直径分别为(25.58±3.49)cm/s、(0.25±0.22)cm优于对照组,差异有统计学意义(P<0.05)。结论下肢骨折老年患者实施强化护理干预能够降低患者便秘发生率,有效改善下肢静脉血栓情况,临床上值得推广使用。

Objective To analyze the effect of postoperative intensive nursing intervention on constipation and lower extremity venous thrombosis in elderly patients with lower limb fracture. Methods From January 2017 to January 2018, 90 elderly patients with lower extremity fractures were enrolled in the hospital and divided into two groups. 45 patients in the control group received routine nursing, and 45 patients in the study group received intensive care. Constipation and lower extremity veins were used in the two groups. Comparison of thrombosis. Results The spontaneous defecation, fecal shape, bloating, and defecation difficulty scores of the study group were 1.95±0.35, 1.94±0.35, 2.04±0.33, and 1.78±0.40,which was superior to the control group,the different was statistically significant(P<0.05);the incidence of constipation in the study group was 4.44%, which was lower than that in the control group(15.55%),the different was statistically significant(P<0.05). The depth of the deep venous flow and DVT in the study group were(25.58 ±3.49) cm/s and(0.25±0.22)cm, respectively. Better than the control group,the different was statistically significant(P<0.05). Conclusion Intensive nursing intervention in elderly patients with lower extremity fracture can reduce the incidence of constipation and effectively improve the venous thrombosis of lower extremities. It is worthy of popularization in clinical use.