常规护理及临床护理路径预防股骨骨折术后深静脉血栓形成的临床对比研究  

Clinical comparative research between routine nursing and clinical nursing pathway in prevention of postoperative deep vein thrombosis after femoral fracture operation

作　　者：吴玲玲[1] 陈瑜婷[1] 张木春[1] 陈水金[1] 

机构地区：[1]湛江中心人民医院骨外三科,524000

出　　处：《中国实用医药》2016年第10期201-202,共2页China Practical Medicine

基　　金：湛江市科技攻关计划项目(项目编号:2015B01162)

摘　　要：目的探究与分析常规护理与临床护理路径预防股骨骨折患者术后深静脉血栓形成的效果。方法 80例股骨骨折患者,采取随机数字表法分为常规护理组与临床护理路径组,各40例。常规护理组给予一般护理,临床护理路径组在常规护理组基础上给予临床护理路径。对比两组患者的术后3 d凝血功能、下肢深静脉血栓形成率、下肢肿胀发生率、住院时间及护理满意度。结果临床护理路径组血浆凝血时间、活化部分凝血活酶时间、纤维蛋白原、下肢深静脉血栓形成率、下肢肿胀发生率、平均住院时间均优于常规护理组,差异有统计学意义(P<0.05)。结论对股骨骨折患者给予临床护理路径可有效预防术后深静脉血栓的形成。Objective To investigate and analyze effects by routine nursing and clinical nursing pathway in prevention of postoperative deep vein thrombosis after femoral fracture operation. Methods A total of 80 patients with femoral fracture were divided by random number table into routine nursing group and clinical nursing pathway group, with 40 cases in each group. The routine nursing group received conventional nursing, and the clinical nursing pathway group received additional clinical nursing pathway. Comparisons were made on postoperative 3 d coagulation function, lower extremity deep venous thrombosis rate, incidence of lower extremity swelling, hospital stay time and nursing satisfaction degree between the two groups. Results The clinical nursing pathway group had all better plasma coagulation time, activated thromboplastin time, fibrinogen, lower extremity deep venous thrombosis rate, incidence of lower extremity swelling, and average hospital stay time than the routine nursing group. Their difference had statistical significance （P〈0.05）. Conclusion Implement of clinical nursing pathway for femoral fracture patients can effectively prevent postoperative deep vein thrombosis.

关 键 词：常规护理 临床护理路径 股骨骨折 深静脉血栓形成 

分 类 号：R473.6[医药卫生—护理学]