下肢骨折术后深静脉血栓形成的护理干预  

Nursing Interventions on Patients with Deep Vein Thrombosis after Lower Limb Fractures Surgery

作　　者：魏桂菊[1,2] 曾妙弟[1,2] 魏秋玲[1,2] 胡芳[1,2] 

机构地区：[1]广东省深圳市观澜人民医院 [2]广东医学院附属观澜医院护理部,518110

出　　处：《中华全科医学》2013年第6期976-977,共2页Chinese Journal of General Practice

摘　　要：目的探讨护理干预对下肢骨折手术高危患者深静脉血栓(DVT)形成的影响。方法收集下肢骨折手术患者120例,将患者随机分为干预组和对照组,每组各60例。调查患者发生DVT的高危因素,干预组实施针对高危因素的护理干预,对照组行骨折术后常规护理,比较两组患者DVT发生率。结果本组患者发生DVT的高危因素包括高龄、肥胖、高血压、糖尿病、贫血、烟酒嗜好、下肢静脉曲张、术后下肢水肿等,其中烟酒嗜好的比例最高(37.5%),其次是术后下肢水肿(35.0%)。干预组DVT发生率5.0%,显著低于对照组8.3%,差异有统计学意义(P<0.05)。结论护理干预能有效消除下肢骨折手术患者发生深静脉血栓的高危因素,从而明显降低深静脉血栓的发生率。Objective To explore the effect of nursing interventions on patients with high risk deep vein thrombosis（DVT） after the surgery of lower limb fractures. Methods Total 120 patients with lower limb fractures were collected and randomly divided into intervention group（IG） and control group（CG） ,with 60 cases in each group respectively. Risk factors of DVT were investi- gated. Comparing with routine nursing care taken in CG, targeted nursing interventions were applied on IG additionally. The inci- dence rate of DVT was compared between the two groups. Results The risk factors of DVT included obesity, hypertension, diabe- tes, anaemia, smoke and alcohol appetite,lower limb varix and swelling. Among these risk factors, smoke and alcohol appetite was the most properly high risk factor of DVT （37.5%） ,followed by lower limb swelling （35.0%）. The intervention group had sig- nificantly lower DVT incidence rate（5.0% ） as compared to the control group（8.3% ） ,P 〈0.05. Conclusion The nursing in- terventions can effectively down-regulate risk factors, therefore reduce the incidence of DVT after the surgery of lower limb frac- tures.

关 键 词：护理干预 下肢骨折 深静脉血栓 高危因素 

分 类 号：R473.6[医药卫生—护理学] R543.6[医药卫生—临床医学]