预防大肠癌术后下肢深静脉血栓形成的护理  

Nursing Care of Deep Vein Thrombosis of Lower Limb After Operation for Colorectal Cancer

作　　者：王丽红 WANG Lihong(Liaoyang Central Hospital,Liaoyang 111000,China)

机构地区：[1]辽阳市中心医院,辽宁辽阳111000

出　　处：《中国医药指南》2023年第2期36-40,共5页Guide of China Medicine

摘　　要：目的 研究大肠癌手术以后对下肢深静脉血栓形成进行预防的有效护理方法。方法 选择到我院进行治疗的78例大肠癌患者为研究对象,时间为2019年3月至2020年2月,按随机方法分为观察组和对照组,每组39例,两组患者均实施手术治疗,分别对两组患者配合综合护理和常规护理,对两组患者经过不同护理以后的手术及治疗情况、并发症发生率、炎性反应情况、焦虑抑郁情绪、生活质量等进行统计和比较。结果 观察组的手术时间、术中出血量、排气时间与住院时间相比对照组都明显更短(P<0.05)。观察组术后深静脉血栓等相关并发症的发生率为7.69%(3/39),明显低于低于对照组[38.46%(15/39)](P<0.05)。术前,两组患者的IL-6和CRP等指标无差异(P>0.05);术后24 h和术后72 h,观察组的IL-6和CRP等指标明显比对照组更低,差异有统计学意义(P<0.05)。护理前,两组患者的焦虑和抑郁情绪评分无差异(P>0.05);护理后,观察组的焦虑和抑郁评分改善效果比对照组更好(P<0.05)。护理前,两组患者的生活质量评分差异无统计学意义(P>0.05),护理后,观察组的生活质量评分改善效果比对照组更为理想(P<0.05)。结论 临床对大肠癌手术患者配合综合护理方法进行护理干预可以有效的降低下肢深静脉血栓等的发生率,对改善患者的不良情绪发挥了重要的作用,可以减轻炎性反应,提高患者的生活质量。Objective To study the effective nursing methods for the prevention of deep vein thrombosis of lower extremities after colorectal cancer surgery. Methods A total of 78 patients with colorectal cancer who came to our hospital for treatment from March 2019 to February 2020 were randomly divided into observation group and control group, with an average of 39 patients in each group. Both groups received surgical treatment.The two groups of patients cooperated with comprehensive nursing and routine nursing, and the operation and treatment conditions, complication rates, inflammatory response, anxiety and depression, and quality of life of the two groups of patients after different nursing were statistically and compared. Results The operation time, intraoperative blood loss, exhaust time and hospitalization time of the observation group were significantly shorter than those of the control group, and the differences were in line with the statistical standard(P<0.05). The observation group 3 cases, The incidence of postoperative deep vein thrombosis and other related complications was lower than that of the control group(15 cases, accounting for 38.46%), and the difference met the statistical standard(P<0.05). There was no significant difference in IL-6 and CRP and other indicators(P>0.05).At 24 h and 72 h after surgery, the post-IL-6 and CRP indicators in the observation group were significantly lower than those in the control group, and the differences were in line with statistical standards(P<0.05). Before nursing, there was no significant difference in anxiety and depression between the two groups(P>0.05). After nursing, the improvement of anxiety and depression in the observation group was better than that in the control group, and the difference met the statistical standard(P<0.05). Before nursing, there was no significant difference in the quality of life between the two groups of patients(P>0.05). After nursing, the improvement effect of the quality of life in the observation group was more ideal than that in th

关 键 词：大肠肿瘤 下肢深静脉血栓 综合护理 生活质量 炎性因子 

分 类 号：R473.73[医药卫生—护理学] R735.3[医药卫生—临床医学]