基于Caprini风险评估模型预防下肢静脉曲张患者围术期静脉血栓栓塞症的临床研究  

Clinical research on perioperative venous thromboembolism prevention for patients with varicose veins of lower extremities based on Caprini risk assessment model

作　　者：沈玉萍[1] 朱志萍[1] Shen yuping;Zhu Zhiping(The Third People's Hospital of Hangzhou,Hangzhou Zhejiang 310009,China)

机构地区：[1]杭州市第三人民医院

出　　处：《护理与康复》2019年第6期5-8,共4页Journal of Nursing and Rehabilitation

摘　　要：目的观察基于Caprini风险评估模型预防下肢静脉曲张手术患者围术期静脉血栓栓塞症的效果。方法将680例下肢静脉曲张手术患者按照随机数字表法分为对照组340例和观察组340例。对照组给予常规预防方法,观察组在此基础上使用Caprini风险评估模型评估患者静脉血栓栓塞症发生的风险,并根据风险程度采取相应的预防措施。结果观察组未发生静脉血栓栓塞症,对照组发生深静脉血栓形成5例(其中1例发生无症状肺动脉栓塞),两组比较,差异无统计学意义(P>0.05)。观察组患者皮下淤血、皮肤硬结、患肢疼痛情况高于对照组,差异有统计学意义(P<0.05)。两组患者下肢肿胀情况比较,差异无统计学意义(P>0.05)。结论 Caprini风险评估模型应用于下肢静脉曲张手术患者,可降低术后静脉血栓栓塞症的发生,但增加了皮下淤血、皮肤硬结、患肢疼痛等并发症的发生。Objective To observe the effect of prevention based on Caprini risk assessment model on perioperative venous thromboembolism for patients with varicose veins of lower extremities.Method Divide 680 patients undergoing varicose vein surgery into observation group(n=340)and control group(n=340)by random number table.Patients in control group receive routine prevention method.Patients in observation group receive risk evaluation on venous thromboembolism by Caprini risk assessment model.Take corresponding preventive measures according to risk level.Result There is no venous thromboembolism in observation group and 5 cases(including 1 case of asymptomatic pulmonary embolism)of venous thromboembolism in control group.The difference is no significant(P>0.05).Status on hypodermic gore,skin induration and pain feeling in affected limbs are more serious in observation group than in control group.The difference is significant(P<0.05).There is no significant difference on lower limb swelling between two groups(P>0.05).Conclusion Caprini risk assessment model can reduce the incidence of venous thromboembolism for patients undergoing varicose vein surgery of lower extremities,but increase the complications of hypodermic gore,skin induration and pain feeling in affected limbs.

关 键 词：下肢静脉曲张 静脉血栓栓塞症 Caprini风险评估模型 围术期 

分 类 号：R473.6[医药卫生—护理学]