脑卒中偏瘫患者下肢深静脉血栓的预防和护理  

Preventive nursing measures for deep venous thrombosis of lower extremity in stroke patients with hemiplegia

作　　者：姚明珠[1] 

机构地区：[1]江苏省常熟市第一人民医院神经内科,江苏常熟215500

出　　处：《中西医结合护理（中英文）》2015年第2期7-8,共2页Journal of Clinical Nursing in Practice

摘　　要：目的总结脑卒中偏瘫患者下肢深静脉血栓的预防护理措施。方法脑卒中偏瘫患者60例根据入院日期分为对照组27例和观察组33例。除对症治疗外,对照组常规护理,观察组在对照组基础上加强下肢深静脉血栓的预防护理干预。对比2组下肢深静脉血栓发生率,SF-36生存质量量表评估患者生存质量。结果发病后10 d,观察组下肢深静脉血栓发生率低于对照组(P<0.05)。出院随访,1个月后观察组SF-36评分显著高于对照组(P<0.05或P<0.01)。结论积极预防和护理干预能够有效降低脑卒中偏瘫患者出现下肢深静脉血栓的风险,提高患者的生存质量。Objective To summarize the preventive and nursing measures for deep venous thrombosis of lower limbs （DVT） in stroke patients with hemiplegia. Methods A total of 60 stroke patients with hemiplegia were assigned to control group （rt = 27 ） and the observation group （n = 33 ） according to the admission date, with routine nursing care and preventive nursing interventions, re- spectively. The incidence of lower limb deep venous thrombosis was observed, and the patient＇s quali- ty of life were evaluated by Short Form 36 Health Survey Questionnaire （SF-36）. Results The inci- dence of DVT in the observation group was lower than that in the control group in 10 days after admis- sion （P 〈 0.05 ）. The observation group achieved better score of SF-36 compared with the controls af- ter one month follow-up（P 〈 0.05, P 〈 0.01 ）. Conclusion The preventive nursing intervention can effectively reduce the risk of DVT, and improve the quality of life in stroke patients with hemiplegia.

关 键 词：脑卒中 偏瘫 下肢深静脉血栓 预防护理 

分 类 号：R543.6[医药卫生—心血管疾病]