术中护理干预对预防妇科恶性肿瘤手术患者下肢深静脉血栓形成的临床价值分析  

Clinical value of intraoperative nursing approach in preventing deep venous thrombosis of lower extremity in patients with malignant gynecologic tumor

作　　者：方娟梅 侯文杰[2] 张新梅[1] Fang Juanmei;Hou Wenjie;Zhang Xinmei(Anesthesia and Operation Department,the First Affiliated Hospital,Soochow University,Suzhou,Jiangsu 215006;Gynecology and Obstetrics Department,the First Affiliated Hospital,Soochow University,Suzhou,Jiangsu 215006)

机构地区：[1]苏州大学附属第一医院手术麻醉科,江苏苏州215006 [2]苏州大学附属第一医院妇产科,江苏苏州215006

出　　处：《中外女性健康研究》2018年第20期16-18,共3页Women＇s Health Research

摘　　要：目的:探讨术中护理干预对预防妇科恶性肿瘤手术患者下肢深静脉血栓形成的临床价值。方法:选取172例2015年1月至2018年1月于苏州大学附属第一医院妇科住院行手术治疗的恶性肿瘤患者,采用随机数表法将172例患者随机分为观察组与对照组,每组各86例患者。对照组患者接受常规护理,观察组患者接受常规护理及术中护理干预,观察患者手术情况及术后下肢深静脉血栓发生情况。结果:两组患者在手术时间、术中失血量、术中补液量、术中输血量等指标方面差异无统计学意义(P>0.05),研究组和对照组术后住院时间分别为(7.62±1.47)天、(9.46±1.92)天,研究组住院时间较对照组明显缩短(P=0.048)。研究组术中及术后共6例患者发生DVT,总体发生率为7.0%,对照组共13例发生DVT,总体发生率为15.1%,两组发生率比较有统计学差异(P=0.036)。进一步分组研究后可见,在术后1～3天,研究组和对照组DVT发生率分别为2.3%、9.4%,提示在术后1～3天对照组DVT发生率明显高于研究组(P=0.041),在术中、术后3～7天及术后7天以后两组患者DVT发生率无显著性差异(P>0.05)。结论:术中护理干预可以有效降低妇科肿瘤患者术中及术后DVT发生率,缩短患者住院时间。Objective：To investigate the clinical value of intraoperative nursing approach in the prevention of deep venous thrombosis in patients with malignant gynecologic tumors. Methods： 172 patients with malignant tumors who underwent gynecological surgery in the First Affiliated Hospital of Soochow University from January 2015 to January 2018 were randomly divided into observation group and control group by random number table method. There were 86 patients in each group. The patients in control group undertook routine nursing while patients in observation group undertook routine nursing and intraoperative nursing intervention and the incidence of deep venous thrombosis of the lower extremity in operation and postoperative were observed. Results： There was no significant difference between the two groups in terms of operation time, intraoperative blood loss, intraoperative fluid volume, intraoperative blood transfusion volume （ P 〉 0.05）. The hospitalization time was（7.62±1.47）days vs（9.46±1.92）days in each group, and the hospitalization time of study group was significantly shorter than that of control group （ P =0.048）. 6 patients （7.0%） occurred DVT in study group, while 13 patients （15.1%） occurred DVT in control group, the incidence rate was statistically different （ P =0.036）. furthermore, the incidence of DVT in the study group and the control group was 2.3% vs 9.4% in 1-3 days postoperative, which suggesting that the incidence of DVT in the control group was significantly higher than that in the study group 1 to 3 days after surgery （ P =0.041） and there was no significant difference in the incidence of DVT between the two groups during the operation, 3 to 7 days after surgery and 7 days after surgery （ P 〉 0.05）. Conclusion： Intraoperative nursing intervention can effectively reduce the incidence of DVT in patients with malignant gynecologic and shorten the hospitalization time.

关 键 词：术中护理干预 妇科 恶性肿瘤 下肢深静脉血栓 

分 类 号：R543.6[医药卫生—心血管疾病]