Autar量表在脊柱手术患者深静脉血栓形成风险评估中的应用效果  

Autar scale in risk assessment of deep venous thrombosis in patients undertaking spinal surgery

作　　者：周燕梅[1] 

机构地区：[1]南华大学附属南华医院脊柱外科,衡阳421002

出　　处：《国际医药卫生导报》2016年第24期3875-3877,共3页International Medicine and Health Guidance News

摘　　要：目的探讨Autar量表在脊柱手术患者术后并发下肢深静脉血栓（DVT）形成风险评估中的应用效果。方法采用Autar量表对2015年8月至2016年3月收治的148例行脊柱开放性手术的患者于术后24h内进行下肢DVT的风险评估，依据评分结果将患者分为低危、中危、高危3组，观察3组患者下肢DVT发生情况。结果148例脊柱手术患者术后共发生DVT11例，发生率为7．43．％；其中，低危组68例患者中发生DVT1例，发生率为1．47．％；中危组46例患者中发生DVT4例，发生率为8．70％；高危组34例患者中发生DVT6例，发生率为17．65％；不同评分组患者并发下肢DVT差异具有统计学意义（P〈0．05）。结论应用Autar量表对脊柱术后患者进行DVT形成风险评估可以很好地预测其下肢DVT发生的风险，有助于医护人员对脊柱术后患者采取预见性治疗与护理干预，减少脊柱手术患者术后下肢DVT的发生。Objective To explore the application effect of Autar scale in the risk assessment of deep vein thrombosis （DVT） in lower limbs of patients undertaking spinal surgery. Methods Aurar scale was used for the risk assessment of DVT in lower limbs of 148 patients within 24 h after open spinal surgery from August, 2015 to March, 2016. The patients were divided into a low-risk group, a middle-risk group and a high-risk group in terms of the assessment results. The incidence of DVT was observed in all the 3 groups. Results Among all the 148 cases, 11 （7.43%） got DVT; 1 （1.47%） occurred DVT in the low-risk group （n=68）, 4 （8.70%） in the middle-risk group （n=46）, and 6 （17.65%） in the high-risk group （n=34）, with statistical diffel：ences （P 〈 0.05）. Conclusions Autar scale can well predict the risk of lower limb DVT in patients undertaking spinal surgery, which helps medical staff take predicting treatment and nursing intervention for patients undertaking spinal surgery and reduces the occurrence of postoperative lower limb DVT.

关 键 词：Autar量表 脊柱手术 深静脉血栓形成 肺栓塞 风险评估 

分 类 号：R454.1[医药卫生—治疗学]