预案性护理在急性脑卒中患者下肢深静脉血栓预防中的应用价值  

Application Value of Preemptive Nursing in Prevention of Deep Venous Thrombosis of Lower Extremity in Patients with Acute Stroke

作　　者：王慧[1] 王芳[1] WANG Hui;WANG Fang(Department of Critical Care Unit I,Xuzhou Central Hospital,Xuzhou Jiangsu 221000,China)

机构地区：[1]徐州市中心医院重症监护一单元,江苏徐州221000

出　　处：《中华养生保健》2025年第5期126-129,共4页CHINESE HEALTH CARE

摘　　要：目的探究预案性护理在急性脑卒中患者下肢深静脉血栓预防中的应用价值。方法选择2021年1月—2024年5月徐州市中心医院收治的60例急性脑卒中患者作为研究对象,依据随机数表法将所有患者分为对照组与观察组,每组30例。对照组实施常规护理模式,观察组实施预案性护理模式,比较两组下肢皮温、腿温、凝血功能指标及下肢静脉血栓发生情况。结果干预后,两组患者下肢皮温均升高、腿部围度均增大,且观察组下肢温度低于对照组、腿部围度小于对照组,差异有统计学意义(P<0.05)。干预后,两组凝血酶原时间(PT)、活化部分凝血酶原时间(APTT)均缩短,而观察组均长于对照组,两组D-二聚体(D-D)、纤维蛋白原(FIB)水平均升高,而观察组均低于对照组,差异有统计学意义(P<0.05)。观察组下肢静脉血栓发生率低于对照组,差异有统计学意义(P<0.05)。结论急性脑卒中患者应用预案性护理可有效降低下肢温度,避免腿部过度肿胀,调节凝血指标,且可降低并发症发生风险。Objective To explore the application of preemptive nursing in the prevention of deep venous thrombosis of lower extremity in patients with acute stroke.Methods A total of 60 patients with acute stroke who visited Xuzhou Central Hospital from January 2021 to May 2024 were selected as the study objects and divided into control group(n=30)and observation group(n=30)by random number table method.The control group implemented routine nursing mode,and the observation group implemented pre-plan nursing mode.Lower extremity skin temperature,leg temperature,blood coagulation function and lower extremity venous thrombosis were compared between the two groups.Results After intervention,the lower extremity skin temperature and leg circumference of the two groups were increased,while the observation group was lower than the control group,the difference was statistically significant(P<0.05).After intervention,the levels of prothrombin time(PT)and activated partial prothrombin time(APTT)in 2 groups were decreased,and the observation group was higher than the control group,,the levels of D-dimer(D-D)and fibrinogen(FIB)in both groups were increased,while the observation group was lower than the control group,the difference was statistically significant(P<0.05).The incidence of lower extremity venous thrombosis in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion In patients with acute stroke,preemptive nursing can effectively reduce lower extremity temperature,avoid excessive leg swelling,adjust coagulation index,and reduce the risk of complications.

关 键 词：预案性护理 急性脑卒中 下肢深静脉血栓 下肢温度 腿围 

分 类 号：R473.73[医药卫生—护理学]