快速康复外科理念在预防子宫全切术后下肢深静脉血栓形成护理中应用  

Application of the Concept of Rapid Rehabilitation Surgery in the Prevention of Deep Venous Thrombosis of Lower Limbs after Total Hysterectomy

作　　者：林冬红 LIN Dong-hong(Department of Gynecology,Women and Children's Hospital Affiliated to Xiamen University(Xiamen Maternal and Child Health Hospital),Xiamen,Fujian Province,361003 China)

机构地区：[1]厦门大学附属妇女儿童医院(厦门市妇幼保健院)妇科,福建厦门361003

出　　处：《中外医疗》2020年第13期154-156,共3页China & Foreign Medical Treatment

摘　　要：目的分析快速康复外科理念在预防子宫全切术后下肢深静脉血栓形成护理中应用优势。方法方便选择于2018年5月-2019年9月该院中进行治疗的子宫病变患者90例,随机分为两组,甲组50例应用快速康复外科理念,乙组50例应用常规康复理念,对比两组的治疗效果、生活质量、负面情绪、满意度等。结果甲组的有效例数与有效率高于乙组的有效例数与有效率,差异有统计学意义(P<0.05)。甲组的满意总例数与满意率高于乙组,差异有统计学意义(χ^2=8.624,P<0.05)。护理前,分析组与对应组的不良情绪评分差异无统计学意义(P>0.05),护理后,分析组不良情绪改善情况显著优于对应组,差异有统计学意义(P<0.05)。护理前,两组生活质量评分差异无统计学意义(t=0.364,P>0.05),护理后,甲组生活质量评分明显高于乙组,两组数据差异有统计学意义(t=8.654,P<0.05)。护理后,甲组的血栓形成例数为1例,对应的发生率为2.22%,住院时间为(8.94±2.68)d,D-二聚体含量为(248.52±29.78)μg/L,乙组的血栓形成例数为3例,对应的发生率为6.67%,住院时间为(27.92±3.67)d,D-二聚体含量为(306.41±41.89)μg/L,两组数据差异有统计学意义(P<0.05)。结论快速康复外科理念在预防子宫全切术后下肢深静脉血栓形成护理中应用优势更显著,一方面提升了患者的治疗效果、生活质量、护理满意度,另一方面降低了患者的血栓的形成率、住院时间、D-二聚体含量,同时,缓解了患者的负面情绪,为行之有效的护理方法。Objective To analyze the advantages of rapid rehabilitation surgery in the prevention of deep venous thrombosis of lower limbs after total hysterectomy.Methods Convenient selection of 90 patients with uterine lesions who were treated in the hospital from May 2018 to September 2019 were randomly divided into two groups.Group A 50 patients applied the concept of rapid rehabilitation surgery and group B 50 patients applied the conventional rehabilitation concept.The treatment effects,quality of life,negative emotions,and satisfaction were compared between the two groups.Results The effective number and effective rate of group A were significantly higher than the effective number and effective rate of group B,which was statistically significant(P<0.05).The total number of satisfied people and the satisfaction rate in group A were significantly higher than those in group B,which was statistically significant(χ^2=8.624,P<0.05).Before nursing,there was no statistically significant difference in the negative emotion scores between the analysis group and the corresponding group(P>0.05).After the nursing,the improvement of the negative emotions in the analysis group was significantly better than that of the corresponding group,and the data comparison was significant,with statistical significance(P<0.05).Before nursing,the quality of life scores of the two groups were not significantly different(t=0.364,P>0.05).After nursing,the quality of life scores of group A were significantly higher than those of group B.The data difference between the two groups was statistically significant(t=8.654,P<0.05).After nursing,the number of thrombosis in group A was 1 and the corresponding incidence was 2.22%. The length of hospital stay was (8.94±2.68)d. The D-dimer content was (248.52±29.78)μg/L. In 3 cases, the corresponding incidence was 6.67%, the length of hospital stay was (27.92±3.67)d, and the content of D-dimer was (306.41±41.89)μg/L. The data difference between the two groups was statistically significant(P<0.05). Conclusi

关 键 词：子宫全切术 下肢深静脉血栓 快速康复外科理念 

分 类 号：R473.71[医药卫生—护理学]