妇科围手术期静脉血栓栓塞症高危风险患者的护理对策  

Nursing strategy of high risk patients with perioperative venous thromboembolism in gynecology

作　　者：杨朝霞[1] Yang Zhaoxia(Department of Gynecology,Inner Mongolia Baotou Steel Hospital,Baotou 014010,China)

机构地区：[1]内蒙古包钢医院妇科,内蒙古包头014010

出　　处：《实用妇科内分泌电子杂志》2023年第15期133-135,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨妇科围手术期患者静脉血栓栓塞症(VTE)评估为高危风险(Caprini评分≥5分)患者的护理对策。方法选取101例VTE风险评估为高危风险的围手术期患者,根据随机数字表法分为对照组(59例)与观察组(42例)。对照组实行VTE基本预防,观察组实行VTE基本预防、物理预防与药物预防相结合。比较两组不同时间段VTE预防评分。结果观察组术后、出院前VTE预防评分均高于对照组,差异具有统计学意义(P<0.05)。所有患者无一例发生VTE。结论通过尽早、积极的护理干预,可以极大降低围手术期患者VTE的发生率,提升术后康复质量,但是要注重健康教育的配合,提高患者及家属依从性,可从根本上降低VTE的发生率。Objective To explore the nursing strategies for gynecological patients with perioperative venous thromboembolism(VTE)assessed as high risk(Caprini score≥5).Methods 101 perioperative patients with VTE risk were selected and divided into control group(59 cases)and observation group(42 cases)according to random number table method.The control group received basic VTE prevention,and the observation group received basic VTE prevention,physical prevention and drug prevention combined.vTE prevention scores were compared between the two groups in different time periods.Results The VTE prevention scores of the observation group were higher than those of the control group after surgery and before discharge,and the difference was statistically significant(P<o.o5).None of the patients had VTE.Conclusion Early and active nursing intervention can greatly reduce the incidence of VTE in perioperative patients and improve the quality of postoperative rehabilitation.However,it is necessary to pay attention to the cooperation of health education and improve the compliance of patients and their families,which can fundamentally reduce the incidence of VTE.

关 键 词：妇科 围手术期 静脉血栓栓塞症 高危风险 护理对策 

分 类 号：R473.71[医药卫生—护理学]