预见性分阶段干预在预防ICU患者下肢深静脉血栓形成中的应用  

Effects of predictive phased intervention on preventing lower extremity deep venous thrombosis in ICU patients

作　　者：李焕新[1] 鲍鹤玫[2] 邵丽芳[1] 张丽冰[1] 寇书敏 刘力畅[4] 

机构地区：[1]解放军第三〇二医院重症监护中心外科ICU,北京100039 [2]解放军第三〇二医院护理部,北京100039 [3]解放军第三〇二医院干部保健中心,北京100039 [4]解放军第三〇二医院综合内科,北京100039

出　　处：《中华现代护理杂志》2017年第18期2361-2364,共4页Chinese Journal of Modern Nursing

基　　金：北京市医学研究与试验发展项目（1400290062）

摘　　要：目的探讨预见性分阶段干预对ICU患者下肢深静脉血栓形成的预防效果。方法选取2013年6月-2016年6月在解放军第三。二医院ICU收治的重症患者82例，依据随机数表法分为观察组和对照组，每组4l例。观察组采用预见性分阶段干预，对照组采用常规护理干预，干预进行4NJ后比较两组患者的下肢深静脉血栓率、下肢周径、下肢静脉血流速度。结果观察组下肢深静脉血栓发生率2．44％，对照组19．51％，差异有统计学意义（X^2=6．604，P〈0．05）。干预后，观察组患者的下肢周径（30．01±2．34）cm，低于对照组；下肢静脉血流速度（25．43±3．01）cm／s，高于对照组，差异有统计学意义“值分别为2．285、2．357；P〈0．05）。结论预见性分阶段干预在预防ICU患者下肢深静脉血栓形成方面具有优势，值得临床推广。Objective To evaluate the preventive effects of predictive phased intervention on lower extremity deep vein thrombosis in ICU patients. Methods A total of 82 cases of critically ill patients admitted to our hospital from June 2013 to June 2016 were divided into observation group and control group according to the random number table method, with 41 cases respectively. Patients in the observation group received predictive phased intervention, while patients in the control group received routine nursing intervention. After 4 weeks of intervention, the lower extremity deep venous thrombosis rate, lower limb perimeter and blood flow velocity of lower extremity venous were compared between two groups. Results The incidence of lower extremity deep venous thrombosis was 2.44% in the observation group and 19.51% in the control group. The difference between two groups was statistically significant （ X^2=6.604, P 〈 0.05）. After the intervention, the lower limb perimeter of patients in the observation group was （30.01±2.34） era, which was significantly lower than that of the control group ; the venous blood flow velocity of the lower extremity of patients in the observation group was （25.43 ± 3.01） cm/s, which was significantly higher than that of the control group （t=2.285, 2.357; P 〈 0.05）. Conclusions Predictive phased intervention has obvious advantages in the prevention of lower extremity deed venous thrombosis in ICU natients and it is worth clinical nromotion.

关 键 词：静脉血栓形成 重症监护病房 预见性分阶段干预 下肢周径 

分 类 号：R473[医药卫生—护理学]