基于Caprini评分的风险预警管理在妇科腹腔镜患者围术期中的应用  

Application of risk alert management based on Caprini score in perioperative period of gynecological laparoscopic patients

作　　者：吴春兰 方琳 贺梨艳 张洪 WU Chunlan;FANG Lin;HE Liyan;ZHANG Hong(Department of Gynecology,The Third Affiliated Hospital of Nanjing Medical University(The Second People's Hospital of Changzhou),Changzhou,Jiangsu 213000,China)

机构地区：[1]南京医科大学第三附属医院(常州市第二人民医院妇科),江苏常州213000

出　　处：《手术电子杂志》2024年第5期50-54,共5页Electronic Journal of Medical Operations

摘　　要：目的 探讨基于Caprini评分的风险预警管理在妇科腹腔镜患者围术期中的应用效果。方法 纳入2023年1月至—2024年4月常州市第二人民医院妇科收治的78例妇科行腹腔镜手术患者为研究对象,随机分为对照组与观察组,每组各39例。对照组采用常规围术期护理方法,观察组在对照组的基础上应用基于Caprini评分的风险预警管理措施,比较两组应用效果。结果 干预前两组患者的部分凝血活酶时间(APTT)、凝血酶原时间(PT)、D-二聚体比较,均无统计学差异(P>0.05);干预后观察组APTT、PT均大于对照组,差异有统计学意义(P<0.05);干预后观察组D-二聚体低于对照组,差异有统计学意义(P<0.05);干预后观察组患者下肢深静脉血栓(DVT)、肢体肿胀、肢体疼痛、皮肤色泽异常发生率低于对照组,差异有统计学意义(P<0.05)。结论 基于Caprini评分的风险预警管理应用于妇科腹腔镜手术患者围术期管理中,护理效果显著,可有效减少术后DVT形成,提高治疗效果。Objective To explore the application effect of risk alert management based on Caprini score in the perioperative period of gynecological laparoscopic patients.Methods This study enrolled 78 gynecological patients who underwent laparoscopic surgery at the Second People's Hospital of Changzhou,from January 2023 to April 2024.The patients were randomly assigned to a control group and an observation group,with 39 patients in each,using a random number table method.The control group received routine perioperative care,while the observation group was applied with risk alert management measures based on Caprini score on the basis of the control group,and the application effects of the two groups were compared.Results Before the intervention,there were no significant differences between the two groups in terms of APTT,PT,and D-dimer levels(P>0.05).After the intervention,the observation group exhibited significantly higher APTT and PT values compared with the control group(P<0.05).Additionally,the D-dimer level in the observation group was significantly lower than that in the control group post-intervention(P<0.05).Following the intervention,the observation group demonstrated significantly lower incidence rates of DVT,limb swelling,limb pain and abnormal skin color compared with the control group(P<0.05).Conclusion Risk alert management based on Caprini score applied in the perioperative management of gynecological laparoscopic surgery patients demonstrates significant nursing effects,effectively reducing the formation of postoperative deep vein thrombosis(DVT)and improving treatment outcomes.

关 键 词：Caprini评分 风险预警管理 妇科 腹腔镜 围术期 

分 类 号：R47[医药卫生—护理学]