人工髋膝关节置换术后患者应用深静脉血栓观察护理单的效果观察  

Effect of DVT Prevention for Patients Undergoing Hip or Knee Replacement with Nursing Recording of DVT Observation

作　　者：邓尔倚[1] 吴爵慧[1] 黄琼[1] 蔡月嫦[1] 

机构地区：[1]湛江中心人民医院,广东湛江524037

出　　处：《护理学报》2011年第9期53-55,共3页Journal of Nursing（China）

摘　　要：目的探讨应用深静脉血栓(deep venous thrombosis,DVT)观察护理单预防人工髋、膝关节置换术后患者深静脉血栓形成的效果。方法将2009年3—9月期间行人工髋、膝关节置换术的16例患者设为对照组,2009年10月—2010年4月期间行人工髋、膝关节置换术的26例患者设为观察组。对照组采用髋、膝关节置换术后常规的观察护理方法;观察组在常规护理方法的基础上,每天根据DVT观察护理单所设项目对患者的肢体进行评估。比较两组患者手术后4周DVT的发生情况。结果观察组DVT发生率4%,对照组31%,明显低于对照组,经比较差异有统计学意义(P<0.05)。结论应用DVT观察护理单预防人工髋、膝关节置换术后患者DVT效果显著,值得临床推广应用。Objective To discuss the effect of deep venous thrombosis（DVT） prevention for patients undergoing hip or knee replacement with nursing recording of DVT observation.Methods Control group involved 16 cases with hip or knee replacement from March to September 2009 while experimental group included 26 cases from October 2009 to April 2010.Patients in control group underwent conventional nursing while those in experimental group experienced not only conventional nursing but limbs assessment on the basis of items from nursing recording of DVT observation.Occurrence of DVT four weeks after operation was compared.Results The incidence of DVT in experimental group was 4%,which was much lower than that of control group（31%）.There was statistical significance of the comparison（P0.05）.Conclusion The application of nursing recording of DVT observation benefits the decreasing of DVT after hip or knee replacement noticeably.

关 键 词：人工髋关节置换 人工膝关节置换 深静脉血栓观察护理单 深静脉血栓形成 预防 护理 

分 类 号：R684[医药卫生—骨科学]