脑出血患者术后下肢深静脉血栓形成影响因素及护理体会

Influential Factors of Lower Extremity Deep Venous Thrombosis in Patients with Cerebral Hemorrhage and Nursing Experience

目的探究脑出血患者术后下肢深静脉血栓形成影响因素及护理体会。方法分析该院(2017年11月—2018年11月)经手术治疗的脑出血患者资料,采用epidata建立数据库,汇总研究对象的既往史、性别、年龄、股静脉置管、肢体瘫痪、甘露醇应用情况、静脉血栓的发生情况等,分析影响LEDVT形成的相关因素。结果 LEDVT的发生率为17.74%,且经单因素分析,年龄、糖尿病史、肢体瘫痪部位、静脉置管位置、脱水药物使用情况的发生率均差异有统计学意义(P<0.05)。经多因素logistics分析发现,年龄、糖尿病史、肢体瘫痪、静脉置管、脱水药物使用次数与LEDVT的发生均呈正相关性,差异有统计学意义(P<0.05)。结论对脑血栓术后患者应关注其病史、瘫痪部位、置管情况等,在护理过程中密切关注体征,并加强宣教、肢体功能锻炼等,以降低发生LEDVT的风险。

Objective To explore the influencing factors and nursing experience of postoperative deep venous thrombosis in patients with cerebral hemorrhage.Methods The data of patients with cerebral hemorrhage treated by surgery in our hospital(from Nevember 2017 to Nevember 2017)were analyzed.The database was established by epidata.The previous history,gender,age,femoral vein catheterization,limb paralysis,mannitol application and venous thrombosis were analyzed.Factors affecting the formation of LEDVT.Results The incidence of LEDVT was 17.74%.The incidence of age,diabetes history,limb paralysis,venous catheter position,and dehydration medication use were statistically significant(P<0.05).Multivariate logistic analysis showed that age,history of diabetes,limb paralysis,venous catheterization,and the number of dehydration medications were positively correlated with the occurrence of LEDVT,the difference was statistically significant(P<0.05).Conclusion Patients with postoperative cerebral thrombosis should pay attention to their medical history,hernia,and catheterization.They should pay close attention to physical signs during the nursing process,and strengthen mission and limb function training to reduce the risk of LEDVT.