Autar 量表在手术患者下肢深静脉血栓形成风险评估中的应用效果  

Application effect of Autar scale on the risk assessment of deep venous thrombosis among postoperative patients

作　　者：董瑶[1] 宋玲[1] 刘芬[2] 陈哲[3] 

机构地区：[1]首都医科大学附属北京安贞医院手术室,100029 [2]首都医科大学,北京100069 [3]首都医科大学附属北京安贞医院心儿科,100029

出　　处：《中华现代护理杂志》2014年第19期2365-2367,共3页Chinese Journal of Modern Nursing

基　　金：2013年度首都护理学研究专项重点课题

摘　　要：目的：探讨Autar量表在手术患者下肢深静脉血栓（ DVT）形成风险评估中的应用效果。方法采用Autar量表对2013年4月-2014年2月收治的94例手术患者于术前1 d进行DVT风险评估，依据评分结果将患者分为低危、中危及高危组。术后4d为患者进行下肢深静脉彩色超声检查，观察不同组别患者术后DVT的发生情况。结果术后低危组50例患者中1例发生DVT，发生率为2．00％；中危组37例患者中3例发生 DVT，发生率为8．11％；高危组7例患者中4例发生 DVT，发生率为57．14％，差异有统计学意义（χ2＝23．992，P＜0．01）。 Autar量表评分的结果与术后DVT的发生呈正相关性（r＝0．373，P＜0．05）。结论 Autar量表对手术患者DVT发生风险具有预测性，应用Autar量表对术前患者进行深静脉风险评估，有利于手术室护理人员对中、高危风险患者采取预见性护理干预措施，减少围术期DVT的发生。Objective To investigate the effect of Autar scale on the risk assessment of deep venous thrombosis （ DVT） among postoperative patients .Methods Using Autar scale to conduct DVT risk assessment on 94 postoperative patients from April 2013 to February 2014 .Four days after the surgery , patients were given color doppler ultrasound tests to detect DVT .Results Among fifty low risk patients , one case occurred DVT , with an incidence of 2.00%.Among thirty-seven medium risk patients, three cases occurred DVT, with an incidence of 8.11%.Among seven high risk patients , four cases occurred DVT , with an incidence of 57.14%. The difference between groups was significant （χ2 =23.992, P〈0.01 ）.The result of Autar scale risk assessment was positively related to the occurrence of postoperative DVT （ r =0.373, P〈0.05 ）. Conclusions Autar scale can somewhat forecast the occurrence of DVT in postoperative patients .Using Autar scale before surgery is able to instruct the operating room nurses to design predictive nursing interventions for medium and high risk patients and reduce the risk of DVT during the perioperative period .

关 键 词：深静脉血栓形成 危险性评估 Autar量表 术前评估 

分 类 号：R473.6[医药卫生—护理学]