结直肠癌术后下肢深静脉血栓的危险因素及“5A”护理模式的价值评价  

Causes of Deep Venous Thrombosis of Lower Limbs after Colorectal Cancer Surgery and the Value Evaluation of"5A"Nursing Model

作　　者：严华翠 王迪 YAN Huacui;WANG Di(Department of Surgery,Jinxi County People's Hospital,Fuzhou 344800,China)

机构地区：[1]金溪县人民医院外科,抚州344800

出　　处：《中国医药指南》2024年第24期179-181,共3页Guide of China Medicine

摘　　要：目的探讨结直肠癌患者术后下肢深静脉血栓形成(DVT)的危险因素并评价“5A”护理干预的临床效果。方法选取2020年1月至2023年2月在我院行腹腔镜手术的120例结直肠癌患者资料进行回顾性研究,采用Logistic回顾分析法概括患者术后下肢深静脉血栓的独立危险因素。根据护理方案的不同将患者分为观察组和对照组,各60例;对照组实施围手术期常规护理,观察组实施“5A”护理干预,比较两种护理模式在预防下肢深静脉血栓中的临床效果。结果Logistic结果显示:年龄、合并基础疾病、术后并发症是患者术后下肢深静脉血栓形成的独立风险因素。观察组下肢深静脉血栓形成(DVT)5.00%(3/60),低于对照组的31.67%(19/60),差异有统计学意义(P<0.05)。两组干预前的APTT、PT和D-D水平比较差异无统计学意义(P>0.05),观察组干预后APTT、PT高于对照组,D-D低于对照组,差异有统计学意义(P<0.05)。结论结直肠癌手术患者术后下肢深静脉血栓形成的潜在风险较高,实施“5A”护理能够起到有效的预防作用。Objective To explore the risk factors of postoperative deep venous thrombosis in patients with colorectal cancer and evaluate the clinical effect of"5A"nursing intervention.Methods One hundred and twenty patients with colorectal cancer who underwent laparoscopic surgery in our hospital from January 2020 to February 2023 were retrospectively studied,and the independent risk factors of postoperative deep venous thrombosis of lower limbs were summarized by Logistic retrospective analysis.Patients were divided into observation group and control group according to different nursing schemes,with 60 cases in each group.The control group received routine perioperative care,while the observation group received"5A"nursing intervention,and compared the clinical effects of the two nursing modes in preventing deep venous thrombosis of lower limbs.Results Logistic results showed that age,underlying diseases and postoperative complications were independent risk factors for postoperative deep venous thrombosis of lower limbs.Deep vein thrombosis(DVT)in the observation group was 5.00%(3/60),which was lower than that in the control group(31.67%,19/60),and the difference was statistically significant(P<0.05).There was no significant difference in the levels of APTT,PT and D-D between the two groups before intervention(P>0.05).After intervention,APTT and PT in the observation group were higher than those in the control group,and D-D was lower than that in the control group,with significant difference(P<0.05).Conclusions The potential risk of postoperative deep venous thrombosis in patients with colorectal cancer is high,and the implementation of"5A"nursing can play an effective preventive role.

关 键 词：结直肠癌 下肢深静脉血栓 危险因素 护理干预 

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