护理干预对骨科大手术术后静脉血栓栓塞性疾病的影响

卞娜; 王汝娜; 孙彦敏; 刘丹; 周勇; 韩康

doi:10.16766/j.cnki.issn.1674-4152.2016.01.050

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护理干预对骨科大手术术后静脉血栓栓塞性疾病的影响

doi: 10.16766/j.cnki.issn.1674-4152.2016.01.050

卞娜¹,
王汝娜¹,
孙彦敏¹,
刘丹¹,
周勇¹,
韩康^1,2, ,

1. 第四军医大学唐都医院骨3科, 陕西西安 710038;
2. 济南军区总医院脊髓修复科, 山东济南 250000

基金项目:

国家自然科学基金(81272441)

详细信息

通讯作者:
韩康,E-mail:gan_7758525@163.com

中图分类号: R473.6;R687.4
计量
- 文章访问数: 86
- HTML全文浏览量: 24
- PDF下载量: 1
- 被引次数: 0
出版历程
- 收稿日期: 2015-05-30
- 网络出版日期: 2022-08-05

The influence of nursing intervention on venous thromboembolism after orthopedics major operation

BIAN Na¹,
WANG Ru-na¹,
SUN Yan-min¹,
LIU Dan¹,
ZHOU Yong¹,
HAN Kang^{1,2
, ,}

The Third Department of Orthopaedics,Tangdu Hospital,Fourth Military Medical University,Xi’an，Shannxi 710038,China

摘要

摘要: 目的全面记录、分析和比较骨科大手术(人工髋关节置换术、人工膝关节置换术、髋部周围骨折手术)术后行心理干预在预防下肢深静脉血栓及肺栓塞等静脉血栓栓塞性疾病中的作用和效果。方法将2010年1月—2013年1月在骨科住院诊断为相关骨科疾病并给予骨科大手术的患者使用随机数字表随机分为2组，并给予不同的围手术期护理措施：骨科常规护理组(对照组：81例)与护理干预组(实验组：95例)。记录和比较2组患者在围手术期的一般情况指标、肢体周径、深静脉血栓形成等指标。结果所有患者均获得了至少6个月的术后正规随访；护理干预组95例患者中出现深静脉血栓形成的概率为8.42%,对照组81例患者中出现深静脉血栓形成的概率为30.86%,两者相比差异有统计学意义。护理干预组的患者下肢肢体周径[踝上10 cm：(20.37±0.66)cm;髌下10 cm：(35.39±1.70)cm;髌上10 cm:(44.04±3.02)cm]较对照组[踝上10 cm：(23.62±0.99)cm;髌下10 cm：(38.04±1.52)cm;髌上10 cm：(48.76±3.26)cm]明显减小,差异有统计学意义。结论在骨科大手术围手术期给予科学、严谨、正规的护理干预可以对深静脉血栓、肺栓塞等血栓栓塞性疾病起到明显的预防作用，应当进一步的推广和采用。
- 护理干预 /
- 骨科大手术 /
- 静脉血栓栓塞性疾病
Abstract: Objective To observe and summarize the effects of nursing intervention on venous thromboembolism(VTE) after orthopaedics major operation. Methods From January 2010 to January 2013,176 patients which were cured in hospital were randomly divided into two groups(using randomized digital table):the group of nursing intervention (the experimental group) and the group of routine nursing care (control group) which were given the different nurses.The general condition,limb length and deep vein thrombosis were compared and analyzed among groups. Results All patients were followed up at least 6 months after the operation.Nursing intervention group of deep vein thrombosis rate(8/95) is significantly lower than the control group(25/81).Circle length in nursing intervention group were significantly better than that in control group. Conclusion The nursing intervention can play a significant role in the preventing of venous thromboembolism which should be further promoted and used in clinical work.
- Nursing intervention /
- Orthopaedics major operation /
- Venous thromboembolism