早期预防管理在老年髋关节置换术患者血栓预防中的应用效果  

Application Effect of Early Prevention Management on Thrombus Prevention in Elderly Patients with Hip Arthroplasty

作　　者：陈盈盈 蔡骅[1] 吴彤艳 谢小婷 CHEN Yingying;CAI Hua;WU Tongyan;XIE Xiaoting(The 910th Hospital of Joint Logistics Support Force of the PLA,Quanzhou 362000,China;不详)

机构地区：[1]中国人民解放军联勤保障部队第九一〇医院,福建泉州362000

出　　处：《中外医学研究》2023年第18期170-173,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨早期预防管理在老年髋关节置换术患者血栓预防中的应用效果。方法:采取便利抽样法选取2020年5月—2021年12月在中国人民解放军联勤保障部队第九一〇医院骨科进行髋关节置换术的103例老年患者为研究对象。按照随机数表法随机将其分为对照组(n=52)、干预组(n=51)。对照组采用常规护理,干预组在常规护理的基础上给予早期预防管理。比较两组下肢深静脉血栓(DVT)发生率、血浆D-二聚体及纤维蛋白原水平、生命质量评分和负性情绪评分。结果:对照组DVT发生率高于干预组,差异有统计学意义(P<0.05);手术后第1天,干预组D-二聚体和纤维蛋白原水平均低于对照组,差异有统计学意义(P<0.05);干预后,对照组生命质量得分低于干预组,差异有统计学意义(P<0.05);干预后干预组焦虑评分和抑郁评分均较对照组降低,差异有统计学意义(P<0.05)。结论:通过早期预防管理从康复锻炼、营养改善、社会支持、心理干预等方面对患者实施干预,进而提高了患者生命质量,改善患者负性情绪,降低术后DVT发生率。Objective:To explore the application effect of early prevention management on thrombus prevention in elderly patients with hip arthroplasty.Method:A total of 103 elderly patients who underwent hip arthroplasty in the Department of Orthopedics of the 910th Hospital of Joint Logistics Support Force of the PLA from May 2020 to December 2021 were selected as the research objects by convenience sampling method.According to the random number table method,the patients were randomly divided into the control group(n=52)and the intervention group(n=51).The control group was given routine nursing,while the intervention group was given early prevention management on the basis of routine nursing.The incidence of deep vein thrombosis of lower extremity(DVT),plasma D-dimer and fibrinogen levels,quality of life scores and negative emotion scores were compared between the two groups.Result:The incidence of DVT in control group was higher than that in intervention group,and the difference was statistically significant(P<0.05).On the first day after operation,the D-dimer and fibrinogen levels in the intervention group were lower than those in the control group,the differences were statistically significant(P<0.05);After intervention,the quality of life score of the control group was lower than that of the intervention group,the difference was statistically significant(P<0.05).After intervention,anxiety scores and depression scores in the intervention group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Through early prevention management from rehabilitation exercise,nutrition improvement,social support,psychological intervention and other aspects of patients to implement intervention,and then improve the quality of life of patients,improve patients'negative emotions and reduce postoperative DVT incidence.

关 键 词：早期预防管理 髋关节置换术 血栓预防 

分 类 号：R473.6[医药卫生—护理学]