早期康复护理改善老年脑梗死患者血流指标及下肢深静脉血栓发生率的效果考察  

Effect of early nursing intervention on improving blood flow and incidence of deep venous thrombosis in elderly patients with cerebral infarction

作　　者：胡大玲 金利玉 HU Daling;JIN Liyu(Geratology Department,Sir Run RunHospital,Nanjing Medical University,Nanjing 210000,China;Nursing Department,Sir Run Run Hospital,Nanjing Medical University,Nanjing 210000,China)

机构地区：[1]南京医科大学附属逸夫医院老年医学科,江苏南京210000 [2]南京医科大学附属逸夫医院护理部,江苏南京210000

出　　处：《医药高职教育与现代护理》2018年第6期352-355,共4页Medical Higher Vocational Education and Modern Nursing

摘　　要：目的考察早期康复护理对改善老年脑梗死患者血流指标及下肢深静脉血栓发生率的效果。方法选取南京医科大学附属逸夫医院2016年4月至2017年12月收治的160例老年脑梗死患者为研究对象,按随机数字表法分为研究组和对照组,每组各80例。其中对照组给予常规护理,研究组在常规护理的基础上给予早期康复护理。比较两组患者护理干预前、干预2周后的全血黏度、血小板计数等指标,两组患者下肢静脉的血液流速、下肢肿胀率以及血栓发生率。结果护理干预前,两组患者的血小板计数、全血黏度高切、全血黏度低切相比,差异均无统计学意义(P>0. 05);护理干预2周后,两组患者的血小板计数、全血黏度高切、全血黏度低切均显著降低,研究组降幅更大,与对照组比较差异有统计学意义(P<0. 05);护理干预2周后,研究组患者的腘静脉和股静脉血流速度显著高于对照组,下肢肿胀和血栓发生率均显著低于对照组(P<0. 05)。结论实施早期康复护理可改善老年患者下肢静脉血液循环,有效预防下肢深静脉血栓形成。Objective To investigate the effect of early nursing intervention on improving blood flow and incidence of deep venous thrombosis in elderly patients with cerebral infarction.Methods One hundred and sixty patients with cerebral infarction were selected from April 2016 to December 2017 in the Sir Run Run Hospital Affiliated to Nanjing Medical University. According to the principle of random distribution, the patients were divided into the study group and the control group equally. The patients in the control group were treated with conventional nursing methods. while the patients in the study group were treated with early rehabilitation nursing on the basis of conventional nursing. The blood viscosity and platelet count were compared before and after 2 weeks of the intervention between the two groups. The blood flow velocity, lower limb swelling rate and thrombosis rate of lower extremity veins after the intervention were compared between the two groups as well.Results There was no statistical difference in the blood viscosity and platelet count between the two groups before nursing intervention （ P 〉0.05）. After 2 weeks of nursing intervention, the blood viscosity and platelet count decreased significantly, which in the study group were significantly better than those in the control group （ P 〈0.05）. The popliteal vein velocity and femoral vein velocity in the study group were significantly higher than those in the control group, and the lower limb swelling rate and thrombosis rate significantly lower than those in the control group, all above had statistical difference （ P 〈0.05）.Conclusions Early nursing intervention can improve the venous blood circulation of the lower limbs of the patients and prevent the deep venous thrombosis of the lower extremities in the patients with cerebral infarction effectively, which has certain clinical value.

关 键 词：脑梗死 下肢深静脉血栓 早期护理干预 血流速度 老年 预防 

分 类 号：R473.74[医药卫生—护理学]