Deep Venous Thrombosis: Commonly Affected Veins in the Lower Limbs

Aim and Objectives: This study aimed to record the commonly affected veins in the lower limbs, to compare the affected sides and gender and to correlate the Doppler findings and stages of deep venous thrombosis (DVT). Materials and Methods: A descriptive retrospective study of 46 already diagnosed cases of lower limb DVT. Results: Out of 46 cases of DVT, 71.74% were females. The majority of patients (93.47%) were affected in unilateral lower limb with significant predominance (65.22%) to affect the left lower limb (p Conclusion: Lower limb deep venous thrombosis affects left lower limb more than right and females more than males. Superficial femoral vein (SFV) and common femoral vein (CFV) are the most common affected veins. Lower limb DVT predominantly present in acute stage with venous distension and absent blood flow.

Combined effect of Traditional Chinese Medicine decoction and low-molecular-weight heparin calcium on the postoperative deep venous thrombosis in patients with lower limb fracture

OBJECTIVE: To investigate the combined effect of Traditional Chinese Medicine(TCM) decoction and low-molecular-weight heparin calcium on deep vein thrombosis(DVT) induced by surgery in patients with lower limb fracture.METHODS: Totally 86 hospitalized patients with DVT after surgery of lower limb fracture between September 2012 and January 2015 were recruited and randomly divided into control group and observation group, 43 cases in each group. The patients in the control group were treated with subcutaneous injection of low-molecular-weight heparin calcium, and those in the observation group were additionally given Danshen Injection and TCM decoction. The differences between two groups in occurrence rate, medication time, therapeutic effects,recurrence rate of thrombosis, activated partial thromboplastin time(APTT), and prothrombin time(PT) were compared.RESULTS: The occurrence rate of DVT in observation group(4.65%, 2/43) was lower than that in control group(27.91%,12/43)(P<0.05). The medication time of observation group was(6.15±2.94) d, shorter than(9.76±3.12) d in the control group(P<0.05). In observation group, 2 cases of DVT were cured(2/2); in the control group, 9 cases presented therapeutic effects and the total effective rate was 75.00%(9/12). The improvement of APTT and PT in the observation group was better than that in the control group(P<0.05).CONCLUSION: Integrative TCM decoction plus low-molecularweight heparin calcium is superior to applicaton of low-molecularweight heparin calcium alone in reducing and treating DVT in the postoperative patients with lower limb fracture.

Analysis of curative effect of Bingxiao powder on lower limb deep vein thrombosis

Objective:To investigate the therapeutic effect of Bingxiao powder on edema caused by deep venous thrombosis in lower limb thrombosis.Methods:Selected in our hospital from September 2017 to April 2019 of 122 patients with lower limb deep vein thrombosis caused by edema.The patients were divided into two groups:Bingxio powder(61 cases)and magnesium sulfate(61 cases),the circumference difference of lower leg and thigh,the integral of edema and pain,the effective rate and the satisfaction rate of curative effect were compared between the two groups of patients with edema caused by thrombosis of lower limb.Results:in the observation group,the peripheral diameter difference of calf(1.08±0.21)cm,the peripheral diameter difference of thigh(1.76±0.28),the edema score(1.09±0.22)and the pain score(1.34±0.25)were all lower than those of the control group(P<0.05).The effective rate(95.08%)and satisfaction rate(96.72%)of the observation group were higher than those of the control group(P<0.05).Conclusion:Bingxiao powder can reduce the edema symptoms and pain symptoms of patients with edema caused by deep venous thrombosis of lower limbs,and reduce the circumference difference of the lower leg and thigh,with significant clinical effect.

Prevention and Treatment of Deep Vein Thrombosis of the Lower Limbs in Patients with Complications after Orthopedic Trauma Surgery

Objective:To explore and analyze on how to prevent and treat deep vein thrombosis of the lower limbs in patients with complications after orthopedic trauma surgery.Methods:The research patients were selected from the cases of surgical treatment of orthopedic trauma in the hospital during the past two years,and a total of 58 patients were selected.The patients were randomly divided into two groups,with 29 patients in the control group treated with conventional clinical methods;and the other 29 patients were assigned to the experimental group,where targeted preventive and therapeutic measures were administered.During the research,the number of complications of postoperative deep vein thrombosis of the lower limbs and the corresponding treatment efficacy were compared between the two groups of patients.Results:According to the results of clinical experiments,the probability of patients in the experimental group suffering from deep vein thrombosis of the lower limbs after surgery was significantly lower than that of the control group(P<0.05);in addition,when complications of deep venous thrombosis of the lower limbs occurred,the treatment efficacy of the patients in the experimental group was 96.55%,and the treatment efficacy of the patients in the control group was 82.76%.There was a significant difference between the two groups(P<0.05).Conclusion:Through clinical experiments to study and analyze the prevention and treatment measures of deep vein thrombosis in patients with complications after orthopedic trauma surgery,this research proves that active and comprehensive preventive and treatment measures can effectively reduce the number of complications and improve surgery treatment efficacy.

Establishment of a nomogram model for predicting therapy complications in patients with polycythemia and deep venous thrombosis

BACKGROUND Patients with deep venous thrombosis(DVT)residing at high altitudes can only rely on anticoagulation therapy,missing the optimal window for surgery or thrombolysis.Concurrently,under these conditions,patient outcomes can be easily complicated by high-altitude polycythemia(HAPC),which increases the difficulty of treatment and the risk of recurrent thrombosis.To prevent reaching this point,effective screening and targeted interventions are crucial.Thus,this study analyzes and provides a reference for the clinical prediction of thrombosis recurrence in patients with lower-extremity DVT combined with HAPC.AIM To apply the nomogram model in the evaluation of complications in patients with HAPC and DVT who underwent anticoagulation therapy.METHODS A total of 123 patients with HAPC complicated by lower-extremity DVT were followed up for 6-12 months and divided into recurrence and non-recurrence groups according to whether they experienced recurrence of lower-extremity DVT.Clinical data and laboratory indices were compared between the groups to determine the influencing factors of thrombosis recurrence in patients with lowerextremity DVT and HAPC.This study aimed to establish and verify the value of a nomogram model for predicting the risk of thrombus recurrence.RESULTS Logistic regression analysis showed that age,immobilization during follow-up,medication compliance,compliance with wearing elastic stockings,and peripheral blood D-dimer and fibrin degradation product levels were indepen-dent risk factors for thrombosis recurrence in patients with HAPC complicated by DVT.A Hosmer-Lemeshow goodness-of-fit test demonstrated that the nomogram model established based on the results of multivariate logistic regression analysis was effective in predicting the risk of thrombosis recurrence in patients with lowerextremity DVT complicated by HAPC(χ^(2)=0.873;P>0.05).The consistency index of the model was 0.802(95%CI:0.799-0.997),indicating its good accuracy and discrimination.CONCLUSION The column chart model for the personalized prediction of thrombotic recurrence risk has good application value in predicting thrombotic recurrence in patients with lower-limb DVT combined with HAPC after discharge.

Pitfalls and sources of error of color duplex ultrasonography in detecting deep vein thrombosis of proximal lower extremities

Purpose To analyze the sources of errors and discuss the techniques to eliminate pitfalls in detecting deep vein thrombosis (DVT) of the proximal lower extremities with color duplex ultrasonography (CDUS). Methods Sixty-eight cases with initial and repeat venous CDUS of the proximal lower extremities were retrospectively reviewed. The repeat was done within 24 hours after initial CDUS scanning. Comparing repeated images to initial ones, the pitfalls and sources of error in CDUS of the proximal lower extremities were discussed. Results In total 68 repeat studies, there were 62 results as same as initials and 4 cases of false negative DVT and 2 cases of false positive DVT. Conclusion Venous CDUS in detecting DVT is observer dependent. Some pitfalls and errors can be eliminated and corrected with proper scan techniques. CDUS is the most valuable imaging modality for assessing suspected DVT in the proximal lower extremities.

Deep Vein Thrombosis of the Upper Limb: About 6 Cases Collected in Dakar

Deep vein thrombosis of the upper limb is a rare location of venous thromboembolic disease. Data on this form of thrombosis are limited. We report six cases collected in Dakar. The sex ratio was 0.5 and the average age was 27.6 years with extremes of 17 and 39. Painful limb edema was the most constant sign and involved the non-dominant limb in almost all patients. Thrombosis occurred in a field of peripartum cardiomyopathy in two patients and SS sickle cell disease in one patient taking oral contraception. There was neither cancer nor venous catheter in medical history. The diagnosis was made by venous Doppler ultrasound in all patients. Subclavian involvement was the most common. The thrombophilia assessment, done for two patients, was normal. It was about exertion thrombosis on three (3) patients. All the patients had received antivitamin K treatment relaying a low molecular weight heparin. Venous limb compression was associated with anticoagulation for all patients. The treatment duration was six (6) months. There were no reports of pulmonary embolism or death. One patient presented a post-thrombotic syndrome.

Preventing Lower Extremity Deep Vein Thrombosis After Hip Fracture Surgery in Elderly Patients by Acupoint Application Combined with Pneumatic Compression Therapy

Objective:To investigate and analyze the long-term clinical effects of acupoint application combined with pneumatic compression therapy in the prevention of deep venous thrombosis after hip fracture surgery among the elderly.Methods:Sixty elderly patients who had undergone hip fracture surgery from February 2021 to February 2022 were selected as the research subjects.The patients were divided into two groups via drawing lots.Both the groups received nursing care,but the patients in the observation group were treated with TCM acupoint application combined with pneumatic compression therapy,whereas the control group received pneumatic compression therapy.The evaluation indicators included the patients’quality of life and complications.Results:The incidence of lower extremity deep vein thrombosis in the observation group was more than twice(0.3%),whereas the incidence of lower extremity complications in the control group was more than 6 times(20%).There was a significant difference between the two groups(p<0.05).Conclusion:Traditional Chinese medicine acupoint application combined with pneumatic compression therapy is beneficial for the prevention of postoperative lower extremity deep vein thrombosis among elderly patients.In addition,the patients’overall quality-of-life scores in both physiological and psychological aspects improved significantly,which carries significant clinical reference value.

An Unwonted, Pedagogic Case Report on Effort Thrombosis of Right Brachial Vein

Deep vein thrombosis (DVT) is one or more blood clots formed inside the deep vein in the body resulting in complete or partial blockage of blood flow through the affected vein. Upper Extremity DVT (UEDVT) accounts for 5% - 10% of all cases of DVTs. Previously it was thought to be a rare disorder. However in recent years with the advent of various indwelling intravenous devices, hypercoagulable state like COVID-19, secondary UEDVT did not remain infrequent presentation anymore. Though primary UEDVT, also known as Effort Thrombosis, that takes place without any underlying obvious pathology is a rare form till now. We presented a case of 46 years female who presented to the emergency with complaints of progressively increasing pain (7 days) and swelling (3 days) of her right forearm since last 7 days following strenuous and heavy work by her dominant/ right hand during the period of festival. She initially ignored her condition because of the Durga Puja festival. As her symptoms deteriorated she eventually had to attend the emergency department. Eventually an urgent ultrasonography color Doppler was done on emergency basis which diagnosed underlying DVT of her right brachial vein. She was managed with low molecular weight heparin, urgent fasciotomy owning to her impending compartment syndrome. Other tests ruled out any secondary underlying pathology. She improved and discharged without any complications on oral anticoagulant. Exigent events in her history were trauma followed by fall on her right elbow 2 months back and then presenting signs & symptoms commencing at the same region following strenuous, tedious activities over 7 days and consequential effort thrombosis of her right brachial vein. All of that compelled us to ruminate on rare differentials of her presentation and eventually come to this rare diagnosis. The author hence brought this pedagogic case to the readers, especially emergency & primary care physicians and emphasised the importance of being intuitive about rare but deadly differentials which come from proficiency & experience in the field of medicine.

大隐静脉曲张患者术后DVT发生率及危险因素分析

目的:关于大隐静脉曲张患者术后下肢深静脉血栓(DVT)发生率及危险因素分析。方法:选取2019年8月—2023年8月样本医院收治的97例大隐静脉曲张患者作为研究对象,所有患者均接受大隐静脉高位结扎+静脉曲张剥脱术进行手术治疗,根据患者术后是否出现DVT将其分为研究组(n=14)和对照组(n=83)。统计患者术后出现DVT的发生率,收集患者的一般资料并进行logistic回归分析,探寻影响患者出现DVT的危险因素。结果:术后97例患者中发生DVT的共14例,发生率为14.43%;单因素分析结果显示,年龄≥60岁、合并糖尿病、术前1个月使用过激素类药物、静脉曲张病程≥5年、D-二聚体(D-Dminer)水平比较,差异均有统计学意义(χ^(2)=6.634、4.318、6.251、4.430;t=11.545,P<0.05);logistic回归分析结果显示,年龄≥60岁、合并糖尿病、术前1个月使用过激素类药物、静脉曲张病程≥5年、D-Dimer水平是大隐静脉患者术后发生DVT的危险因素(OR=2.303、3.618、2.347、2.435、2.866,P<0.05)。结论:大隐静脉患者术后DVT发生率为14.43%,年龄、合并糖尿病、术前1个月使用过激素类药物≥5年、静脉曲张病程、D-Dimer水平是导致患者术后发生DVT的危险因素。

基于临床路径的分级护理在骨科患者术后下肢深静脉血栓预防中的应用效果

目的:探讨基于临床路径的分级护理在骨科患者术后下肢深静脉血栓(DVT)预防中的应用效果。方法:选取2023年4月—2024年8月于徐州市第一人民医院骨科接受手术治疗的84例患者为研究对象,采用随机数字表法分为常规组(n=42)与观察组(n=42)。常规组实施常规护理,观察组实施基于临床路径的分级护理。比较两组护理效果。结果:护理后,两组纤维蛋白原、D-二聚体水平均降低,且观察组低于常规组(P<0.05)。两组护理前后凝血时间、凝血酶原时间、活化部分凝血活酶时间比较,无统计学差异(P>0.05)。护理后,两组生活质量评分均高于护理前,且观察组高于常规组(P<0.05)。观察组下肢并发症总发生率低于常规组(P=0.026)。结论:基于临床路径的分级护理在骨科患者术后DVT预防中的应用效果较好,能够改善患者的凝血功能,降低下肢并发症发生率,提高生活质量。

利伐沙班与华法林治疗老年下肢深静脉血栓的效果比较

目的:本研究旨在比较利伐沙班和华法林在老年下肢深静脉血栓(DVT)治疗中的效果和安全性。方法:本研究为前瞻性随机对照试验,选取启东市人民医院2021年6月—2023年12月收治的102例老年下肢DVT患者,随机分为对照组(华法林组)和观察组(利伐沙班组),各51例。比较两组患者的下肢静脉栓子检出率,以及用药前、用药5 d和10 d后的血液流变学指标(全血高切黏度、全血低切黏度、血浆黏度及红细胞聚集指数)和凝血功能指标[凝血酶时间(TT)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、纤维蛋白原(FIB)、D-二聚体(D-D)]。结果:用药10 d,观察组下肢静脉栓子检出率显著低于对照组(P<0.05)。在血液流变学指标方面,用药5 d和10 d后,观察组全血高切黏度、全血低切黏度、血浆黏度、红细胞聚集指数均低于对照组(P<0.05)。对于凝血功能指标,用药5 d和10 d后,观察组的TT、PT和APTT均长于对照组(P<0.05),FIB水平和D-D水平均低于对照组(P<0.05)。结论:在治疗老年下肢DVT方面,利伐沙班相较于华法林表现出更低的静脉栓子检出率和更好的血液流变学及凝血功能改善效果。因此,利伐沙班可作为一种更有效的治疗选择。

集束化护理对预防缺血性脑卒中后下肢深静脉血栓形成的效果

目的探讨集束化护理干预对于减少缺血性脑卒中患者并发下肢深静脉血栓的疗效。方法选取自2023年1月至2023年12月,在本院接受治疗的60例缺血性脑卒中患者作为样本,所有患者在入院后均接受标准溶栓治疗。通过随机数字表法将这些患者分为常规护理的对照组和集束化护理的观察组,每组各30例。对照组采用传统的护理措施,观察组采用集束化护理干预。对比两组患者下肢深静脉血栓的发生率,并对两组的凝血功能指标及下肢深静脉血栓健康信念量表评分进行对比分析。结果观察组的下肢深静脉血栓发生率较对照组低(P<0.05);在下肢深静脉血栓健康信念量表的各个维度评分中,观察组均高于对照组(P<0.05);在凝血功能指标方面,护理后观察组的凝血酶原时间(PT)、凝血酶时间(TT)和凝血活酶时间(APTT)均高于对照组,而纤维蛋白原(Fbg)水平低于对照组(P<0.05)。结论针对缺血性脑卒中患者开展集束化护理工作,可以强化其下肢深静脉血栓形成的健康信念,降低下肢深静脉血栓形成发生率。

多学科联合五阶梯渐进式活动方案在ICU机械通气病人中的应用

目的:探究多学科联合五阶梯渐进式活动方案在重症监护病房(ICU)机械通气病人中的应用效果。方法:选取2022年5月—2023年7月就诊于青岛市某医院的ICU机械通气病人为研究对象,根据入院时间将病人分为对照组(49例)和干预组(48例)。对照组采用重症常规治疗与护理方法进行干预,干预组采用多学科联合五阶梯渐进式活动方案进行干预。比较两组病人ICU获得性衰弱(ICU-AW)发生率、日常生活活动能力、ICU获得性谵妄发生率、机械通气时长、ICU住院时间、下肢深静脉血栓发生率。结果:干预组病人Barthel指数为(29.48±14.26)分,高于对照组[(17.14±14.25)分];机械通气时间为(5.56±3.75)d,ICU住院时间为(8.15±3.94)d,短于对照组[机械通气时间为(7.92±6.28)d,ICU住院时间为(11.69±8.73)d];ICU-AW发生率为17%,ICU获得性谵妄发生率为2%,下肢深静脉血栓发生率为21%,低于对照组[ICU-AW发生率为37%,ICU获得性谵妄发生率为27%,下肢深静脉血栓发生率为49%],差异均有统计学意义(均P<0.05)。结论:实施多学科联合五阶梯渐进式活动方案有利于提高ICU机械通气病人日常生活活动能力,降低ICU-AW、ICU获得性谵妄和下肢深静脉血栓发生率,缩短机械通气时间及ICU住院时间。

以患者需求为导向的精细化护理干预在下肢深静脉血栓介入手术围手术期的应用价值

目的探讨分析以患者需求为导向的精细化护理干预在下肢深静脉血栓介入手术围手术期的应用价值。方法于2023年1月至2024年1月选取该院收治的下肢深静脉血栓介入手术患者79例,以随机数字表法分为2组,对照组(常规护理干预)39例和观察组(以患者需求为导向的精细化护理干预)40例,比较分析2组干预情况。结果干预后,与对照组比较,观察组患者依从性优良率高[97.50%(39/40)vs.82.05%(32/39)],并发症发生率低[2.50%(1/40)vs.20.51%(8/39)],世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分高,满意度高[95.00%(38/40)vs.76.92%(30/39)],差异均有统计学意义(P<0.05)。结论以患者需求为导向的精细化护理应用于下肢深静脉血栓介入手术围手术期有助于提高患者依从性,减少围手术期并发症,也能提高其生活质量及满意度。

基于Caprini风险评估的个性化护理对老年下肢骨折患者深静脉血栓形成发生率的影响

目的:探讨基于Caprini风险评估的个性化护理对老年下肢骨折患者深静脉血栓形成(DVT)发生率的影响。方法:选取2023年2—12月泉州市正骨医院80例下肢骨折老年患者为研究对象,采用随机数表法将患者分为对照组(n=40)和观察组(n=40)。对照组患者接受常规护理干预,观察组患者在常规护理干预基础上接受基于Caprini风险评估的个性化护理。对比两组双下肢大腿周径差值、DVT发生率、满意度。结果:手术前,两组双下肢大腿周径差值比较,差异无统计学意义(P>0.05);术后3 d、术后7 d及出院前,观察组双下肢大腿周径差值均优于对照组,差异有统计学意义(P<0.05)。观察组有1例发生DVT,发生率为2.50%;对照组有6例发生DVT,发生率为15.00%;两组DVT发生率比较,差异有统计学意义(P<0.05)。观察组总满意度高于对照组,差异有统计学意义(P<0.05)。结论:基于Caprini风险评估的个性化护理可降低老年下肢骨折患者DVT发生风险,提升患者满意度。

脉通散外敷和利伐沙班治疗恶性肿瘤患者下肢深静脉血栓的临床研究

目的:探讨脉通散外敷联合利伐沙班治疗恶性肿瘤患者并发下肢深静脉血栓的效果及对患者远期结局的影响。方法:选择2022年7月-2024年6月恶性肿瘤合并下肢深静脉血栓患者60例,采用随机数字表法分为观察组和对照组,每组30例。对照组仅接受利伐沙班治疗,观察组在对照组基础上外敷脉通散,评估两种治疗方法的效果。结果:观察组D-二聚体与纤维蛋白原水平低于对照组,观察组的血浆凝血酶原时间与活化部分凝血活酶时间水平长于对照组,观察组的大腿与小腿周径差低于对照组,观察组的生活质量高于对照组,差异均有统计学意义(P<0.05)。结论:采用外敷脉通散与利伐沙班治疗恶性肿瘤并发下肢深静脉血栓患者,双下肢周径差减小,可改善凝血功能,提高生活质量。

补阳还五汤联合利伐沙班治疗气虚血瘀型缺血性脑卒中后下肢深静脉血栓临床研究

目的:观察补阳还五汤联合利伐沙班治疗气虚血瘀型缺血性脑卒中后下肢深静脉血栓(LDVT)的疗效。方法:选取2022年7月—2023年6月温州市中西医结合医院收治的118例气虚血瘀型缺血性脑卒中后LDVT患者,按信封法随机分为对照组及观察组各59例。2组均接受现代医学常规治疗。对照组在常规治疗基础上加用利伐沙班治疗,观察组在常规治疗基础上加用补阳还五汤联合利伐沙班治疗,2组均治疗14 d。比较2组临床疗效,中医证候积分、美国国立卫生研究院脑卒中量表(NIHSS)评分、日常生活活动能力量表(Barthel)评分、Villalta评分和凝血指标[D-二聚体(D-D)、同型半胱氨酸(Hcy)、纤维蛋白原(FIB)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、凝血酶时间(TT)]水平。结果:治疗14 d后,观察组临床疗效总有效率93.10%(54/58)高于对照组82.76%(48/58)(P<0.05)。治疗7 d、14 d后,2组中医证候积分均较治疗前降低,且观察组中医证候积分均低于同期对照组(P<0.05);治疗7 d、14 d后,2组NIHSS评分和Villalta评分均较治疗前降低,观察组NIHSS评分和Villalta评分均低于同期对照组(P<0.05);治疗14 d后,2组NIHSS评分和Villalta评分均低于治疗7 d后(P<0.05)。治疗7 d、14 d后,2组Barthel评分均较治疗前升高(P<0.05);治疗14 d后,2组Barthel评分均较治疗7 d后升高,观察组Barthel评分高于对照组(P<0.05)。治疗7 d、14 d后,2组D-D、Hcy、FIB水平均较治疗前降低(P<0.05);治疗14 d后,2组D-D、Hcy、FIB水平均较治疗7 d后降低(P<0.05)。治疗7 d、14 d后,2组PT、APTT、TT均较治疗前延长,观察组PT均长于同期对照组(P<0.05);治疗14 d后,2组PT、APTT、TT均较治疗7 d后延长(P<0.05)。2组均未出现不良反应。结论:补阳还五汤联合利伐沙班治疗气虚血瘀型缺血性脑卒中后LDVT可改善临床症状,降低D-Dimer及Hcy水平,有效改善凝血功能,发挥协同抗凝作用。

个案追踪管理模式护理在骨科大手术后卧床患者中的应用效果

目的:观察个案追踪管理模式护理在骨科大手术后卧床患者中的应用效果。方法:选取2019年1—12月该院收治的80例骨科手术患者进行前瞻性研究,按随机数字表法将其分为对照组和观察组各40例。对照组采用常规护理,观察组在对照组基础上采用个案追踪管理模式护理。比较两组术后深静脉血栓(DVT)和肢体肿胀发生率,护理前后下肢静脉血流速度,护理质量和护理满意度。结果:观察组术后DVT和肢体肿胀发生率均低于对照组,差异有统计学意义(P<0.05);护理后,两组下肢静脉血流速度均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组肢体血循环评估准确率、体位护理合格率、康复行为训练准确率、患者健康宣教知晓率均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为95.00%,高于对照组的80.00%,差异有统计学意义(P<0.05)。结论:在常规护理基础上实施个案追踪管理模式护理可提高骨科大手术后卧床患者下肢静脉血流速度、护理质量和护理满意度,以及降低DVT和肢体肿胀发生率的效果优于单纯常规护理。

多元化健康教育模式在预防下肢骨折患者深静脉血栓中的应用

目的探讨多元化健康教育模式在预防下肢骨折患者深静脉血栓中的应用效果。方法采用便利抽样法,选取2021年1~12月收治的下肢骨折患者300例,按照住院时间将2021年1~6月收治的患者作为对照组,将2021年7~12月收治的患者作为观察组,每组150例。对照组采用常规健康教育模式,观察组采用多元化健康教育模式。比较2组患者对深静脉血栓的认知水平、基本预防措施依从性、深静脉血栓的发生率,以及患者对护理工作满意度。结果观察组患者对深静脉血栓的认知水平、对基本预防措施的依从性、护理满意度显著高于对照组(P<0.05)。观察组患者深静脉血栓发生率为16.00%低于对照组的25.33%,差异有统计学意义(P<0.05)。结论将多元化健康教育模式应用于下肢骨折患者,可提高护理效果,降低深静脉血栓的发生率,值得推广应用。