Autar量表应用对于骨科大手术患者深静脉血栓形成的预防效果  

The preventive effect of Autar scale formation in of orthopedics operation patients with deep vein thrombosis

作　　者：王颖 吴倩 周宜芳 张成欢 李莹[4] 刘云[5] 黄燕鹏[6] 夏韦[7] 凌琳 薛慧娟 董丰琴 丁敏华 朱冬梅 严文婕 

机构地区：[1]解放军第九七医院骨科,徐州221004 [2]解放军第九七医院护理部,徐州221004 [3]江苏省常州市第一人民医院骨科 [4]南京军区南京总医院骨科 [5]南京军区南京总医院卫生技术干部训练中心 [6]解放军第一七四医院骨科 [7]徐州医学院附属医院骨科 [8]解放军第一O一医院骨科 [9]解放军第八二医院骨科 [10]解放军第九八医院骨科 [11]解放军第一О五医院骨科 [12]解放军第八一医院护理部 [13]解放军第一ОО医院骨科

出　　处：《中国实用护理杂志》2017年第6期433-435,共3页Chinese Journal of Practical Nursing

摘　　要：目的 探讨Autar量表在骨科大手术患者深静脉血栓形成（DVT）中的预防效果.方法应用Autar量表,对10家三级甲等医院于2014年11月至2015年2月收治的330例行骨科大手术的患者,于入院24 h内、术后24 h内进行Autar量表风险评估,根据得分将患者分为低危组（≤10分）、中危组（11~14分）、高危组（≥15分）,在患者住院期间及出院后2周、1个月、3个月进行随访,观察患者DVT发生情况.结果Autar量表评分结果显示,骨科大手术后24 h内97.88%（323/330）的患者处于发生DVT中、高风险.不同手术方式Autar评分不同,股骨头置换术术前及术后第1天Autar评分分别为（14.26±4.06）、（17.88±3.78）分,髋关节置换术分别为（8.88±4.96）、（14.84±3.10）分,膝关节置换术分别为（8.22±3.31）、（15.17±2.63）分,股骨头置换术患者风险最高（χ2=145.131、241.256,均P〈0.01）.入院24 h内的Autar评分,高危患者占13.33%（44/330）,5例患者发生血栓,发生率为11.36%（5/44）.术后24 h内Autar评分,高危患者占52.73%（174/330）,11例患者发生血栓,发生率为6.32%（11/174）.结论骨科大手术患者多处于DVT的中、高危险中.应用Autar量表对骨科大手术患者进行DVT的风险评估,有利于医护人员识别高危患者,采取预见性治疗与护理干预,减少骨科大手术患者DVT的发生.Objective To investigate the preventive effect of Autar scale in the Department of orthopedics operation patients with deep vein thrombosis （DVT）. Methods A total of 330 cases of patients with orthopedic operation within 24 hours and 24 hours after operation in 10 hospitals from November 2014 to February 2015 were assessed the risk using Autar scale. They were divided into low risk group （score≤10）, middle risk group （score 11-14） and high risk group （score≥15） according to the scores. During hospitalization, two weeks, one month, three months after discharge, the incidence of DVT was observed by follow-up. Results According to Autar scale , 97.88%（323/330）patients after surgery were in middle and high risk. According to the Autar score, different surgical methods got different scores, Autar score before operation and the first day after operation was 14.26±4.06,17.88±3.78 in femoral head replacement, while 8.88±4.96, 14.84±3.10 in hip replacement; and the femoral head replacement had the highest risk （χ2=145.131, 241.256, P〈0.01）. Within 24 hours after admission, 13.33%（44/330）patients were in high risk, and 11.36% （5/44） patients occurred DVT. After surgery, 52.73% （174/330） patients were in high risk, and 6.32%（11/174） patients occurred DVT. Conclusions Patients with orthopaedic surgery are most in median to high risk of DVT. Using Autar scale for DVT risk assessment of patients undergoing major orthopaedic surgery is effective. It is propitious to nurses to discriminate high risk patients, adopt preventive treatment and nursing intervention in order to decrease the incidence of DVT.

关 键 词：深静脉血栓 Autar量表 骨科大手术 风险评估 

分 类 号：R473.6[医药卫生—护理学]