冠状动脉旁路术后预防下肢深静脉血栓形成的护理  

Study on nursing to prevent deep vein thrombosis after coronary artery bypass grafting

作　　者：王博[1] 郑月婷[1] 姜伟光[1] 马翀奕[1] 

机构地区：[1]哈尔滨医科大学附属第二医院心脏外科,150086

出　　处：《中华现代护理杂志》2013年第4期429-430,共2页Chinese Journal of Modern Nursing

摘　　要：目的探讨在围术期实施护理干预对预防冠状动脉旁路搭桥术后下肢深静脉血栓形成（DVT）的疗效。方法对照组为未实行护理干预的前3年患者201例，其术后均采用传统的围术期护理方法，观察组为实行护理干预3年来患者298例，在传统护理基础上实施有针对性的护理干预，比较两组患者DVT发生情况。结果观察组患者术后下肢深静脉血栓、下肢肿胀及疼痛的发生率为1．54％，明显低于对照组的3．87％，差异有统计学意义（X^2=5．26，P〈0．01）。结论围术期护理干预能有效降低冠状动脉旁路搭桥术后下肢深静脉血栓的形成。Objective To investigate the treatment effect of perioperative nursing intervention to prevent deep vein thrombosis after coronary artery bypass grafting （CABG）. Methods The control group included 201 patients before 3 years of nursing intervention who used traditional perioperative nursing method, while the observation group included 298 patients in the 3 years of nursing intervention who received systematic nursing intervention in addition. Results The occurrence rate of deep vein thrombosis, lower limbs swelling and pain in the observation group was 1.54% ,obviously lower than that in the control group which was 3.87%, and the difference was statistically significant （ X2 = 5. 26, P 〈 0. 01 ）. Conclusions Perioperative nursing intervention can effectively lower the incidence of deep vein thrombosis after CABG.

关 键 词：冠状动脉旁路移植术 非体外循环 静脉血栓形成 围手术期护理 预防 

分 类 号：R473.6[医药卫生—护理学]