股骨颈骨折术患者实施FMEA风险预测的手术室护理管理对下肢深静脉血栓形成的影响  

Impact of Implementing FMEA Risk-Predictive Operating Room Nursing Management on Lower Extremity Deep Vein Thrombosis in Patients Undergoing Femoral Neck Fracture Surgery

作　　者：傅健斌 FU Jianbin(Department of Anesthesiology,910th Hospital of the Joint Logistics Support Force of the People's Liberation Army of China,Quanzhou 362000,China)

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

出　　处：《中国医药指南》2024年第1期55-57,共3页Guide of China Medicine

摘　　要：目的分析失效模式与效应分析(FMEA)风险预测的手术室护理管理对股骨颈骨折术患者下肢深静脉血栓形成(DVT)的影响。方法纳入本院2022年3月至2023年3月行手术治疗的股骨颈骨折患者270例,随机分为两组,分别135例。对照组予常规护理管理,观察组予FMEA风险预测的手术室护理管理。比较两组干预前后凝血因子、下肢股静脉血流指标、髋关节功能、DVT发生率。结果两组D-二聚体、纤维蛋白原、凝血酶时间、活化部分凝血活酶时间干预后均有明显改善,且观察组改善更明显(P<0.05)。两组下肢股静脉血流峰速度、平均流速干预后均有明显增加,且观察组增加更明显(P<0.05)。两组医院膝关节评分、髋关节评分干预后均有明显增加,且观察组增加更明显(P<0.05)。观察组DVT发生率1.48%与对照组9.63%相比更低(P<0.05)。结论股骨颈骨折术患者实施FMEA风险预测的手术室护理管理,能够有效改善凝血因子与血流指标,减少DVT发生,促进术后关节功能恢复。Objective To analyze the effect of Failure Mode and Effect Analysis(FMEA)risk-predictive operating room nursing management on the rate of lower extremity deep vein thrombosis(DVT)in patients undergoing femoral neck fracture surgery.Methods A total of 270 patients with femoral neck fracture who underwent surgical treatment from March 2022 to March 2023 in our hospital were included and randomly divided into two groups of 135 cases each.The control group was given conventional nursing management,and the observation group was given FMEA risk-predictive operating room nursing management.Compare the incidence of coagulation factors,lower extremity femoral venous bloodflow indexes,hip joint function,and DVT before and after intervention in the two groups.Results D-dimer,fibrinogen,prothrombin time,activated partial thromboplastin time in both groups showed significant improvement after intervention,and the improvement was more obvious in the observation group(P<0.05).Peak velocity and mean flow rate of femoral vein blood flow in the lower limbs of both groups increased significantly after intervention,and the increase was more obvious in the observation group(P<0.05).The knee joint score and hip joint score of the hospital in both groups increased significantly after intervention,and the increase was more obvious in the observation group(P<0.05).The incidence of DVT in the observation group was 1.48%lower compared with 9.63%in the control group(P<0.05).Conclusions The implementation of FMEA risk prediction of operating room nursing management in patients with femoral neck fracture can effectively improve coagulation factors and bloodflow indexes,reduce the occurrence of DVT,and promote the recovery of postoperative joint function.

关 键 词：失效模式与效应分析 手术室护理管理 股骨颈骨折 深静脉血栓形成 

分 类 号：R473.6[医药卫生—护理学] R683.42[医药卫生—临床医学]