围手术期患者静脉血栓分级护理防治研究  

Research on Grading Nursing in Preventing Venous Thrombosis for Perioperative Patients

作　　者：罗勤[1] 贺文[1] 宁宁[2] 陈忠兰[3] 

机构地区：[1]广元市第一人民医院,四川广元628017 [2]四川大学华西护理学院 [3]四川大学华西医院急诊科

出　　处：《华西医学》2012年第8期1240-1243,共4页West China Medical Journal

基　　金：四川省卫生厅科研课题基金(090167)~~

摘　　要：目的探讨围手术期患者静脉血栓预防的分级护理方法,为静脉血栓的预防提供实证依据。方法 2009年5月-2012年1月,以某市级乙等综合性医院各科室手术患者为对象,引入量化工具评估患者围手术期静脉血栓发生的危险,并根据评估结果采取分级护理方法进行防治,并在患者出院时用彩色多普勒超声判断是否存在静脉血栓,以验证分级护理防治效果。结果纳入的318患者经评估均存在发生静脉血栓的风险,其中低度危险患者65例,中度182例,高度危险71例。经分级护理治疗,出院时均未发生静脉血栓症状、肺栓塞。结论分级护理方法安全、简便,可操作性强,便于围手术期患者静脉血栓的早期、普遍预防,值得推广。Objective To investigate grading nursing methods for preventing venous thrombosis in perioperative patients,in order to provide empirical evidences for the prevention of venous thrombosis.Methods From May 2009 to January 2012,quantitative assessment tools were applied for assessment of venous thrombosis risk in patients in a city level class-B comprehensive hospital.According to the results,grading nursing methods of prevention and treatment were delivered.Doppler ultrasound was used to determine the existence of venous thrombosis for patients when they were discharged from the hospital.Results All the 318 patients suffered the risk of venous thrombosis after assessment.The numbers of low,moderate and high-risk cases were 65,182 and 71 respectively.Through grading nursing,all patients were discharged with no symptoms of venous thrombosis or pulmonary embolism.Conclusion Grading nursing method is feasible,safe and practicable in the prevention of venous thrombosis,and it is worthy of popularizing.

关 键 词：静脉血栓 分级护理 预防 肺栓塞 风险评估 

分 类 号：R473.6[医药卫生—护理学]