骨科大手术的临床预防处理分析
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摘要
目的分析骨科大手术患者术后下肢深静脉血栓(DVT)的临床预防方法。方法选取2015年6月—2016年6月该院骨科收治的88例手术患者作为观察对象,采用随机数字表法分为研究组、对照组各44例,研究组采用低分子肝素、中药活血灵汤、对症护理干预预防下肢DVT,对照组通过低分子肝素、物理加压、常规护理防范DVT。观察两组患者DVT发生率、血小板水平、活化部分凝血活酶时间(APTT)、D-二聚体(DD)、凝血酶原时间(PT)。结果研究组、对照组血小板、APTT、PT、DD水平分别为(263.1±40.5)×109/L、(37.1±4.5)s、(16.4±2.8)s、(1.60±1.1)mg/L;(189.4±36.9)×109/L、(31.0±3.3)s、(13.4±1.9)s、(2.19±1.6)mg/L,差异有统计学意义(P<0.05);研究组术后下肢DVT发生率(2.27%)明显低于对照组(13.64%),差异有统计学意义(P<0.05)。结论低分子肝素、中药活血灵配合对症护理干预可以有效降低骨科患者术后下肢DVT发生率,减轻患者的痛苦,加速患者的康复速度。
Objective To analyze the clinical predictive treatment of deep venous thrombosis after the orthopaedic major surgery. Methods 88 cases of operative patients admitted and treated in our hospital from June 2015 to June 2016 were selected and randomly divided into two groups with 44 cases in each, the observation group adopted the low molecular heparin and TCM huoxueling decoction and symptomatic nursing intervention, and the control group adopted the low molecular heparin and physical pressurization and routine nursing prevention, and the incidence rate of DVI,platelet level, APTT, DD and PT of the two groups were observed. Results The differences in the platelet, APTT,PT,DD levels between the research group and the control group were statistically significant, [(263.1±40.5)×109/L,(37.1±4.5)s,(16.4±2.8)s,(1.60±1.1)mg/L vs(189.4±36.9)×109/L,(31.0±3.3)s,(13.4±1.9)s,(2.19±1.6)mg/L](P<0.05), and the incidence rate of postoperative lower limbs DVT was obviously lower than that in the control group,(2.27% vs 13.64%),and the difference was statistically significant(P<0.05). Conclusion The low molecular heparin and TCM huoxueling decoction and symptomatic nursing intervention can effectively reduce the incidence rate of postoperative lower limbs DVT of patients in the department of orthopedics, reduce the pains of patients and accelerate the recovery speed of patients.
Objective To analyze the clinical predictive treatment of deep venous thrombosis after the orthopaedic major surgery. Methods 88 cases of operative patients admitted and treated in our hospital from June 2015 to June 2016 were selected and randomly divided into two groups with 44 cases in each, the observation group adopted the low molecular heparin and TCM huoxueling decoction and symptomatic nursing intervention, and the control group adopted the low molecular heparin and physical pressurization and routine nursing prevention, and the incidence rate of DVI,platelet level, APTT, DD and PT of the two groups were observed. Results The differences in the platelet, APTT,PT,DD levels between the research group and the control group were statistically significant, [(263.1±40.5)×109/L,(37.1±4.5)s,(16.4±2.8)s,(1.60±1.1)mg/L vs(189.4±36.9)×109/L,(31.0±3.3)s,(13.4±1.9)s,(2.19±1.6)mg/L](P<0.05), and the incidence rate of postoperative lower limbs DVT was obviously lower than that in the control group,(2.27% vs 13.64%),and the difference was statistically significant(P<0.05). Conclusion The low molecular heparin and TCM huoxueling decoction and symptomatic nursing intervention can effectively reduce the incidence rate of postoperative lower limbs DVT of patients in the department of orthopedics, reduce the pains of patients and accelerate the recovery speed of patients.
引文
[1]杨荷兰.护理干预对预防骨科术后下肢深静脉血栓形成的影响[J].河北医学,2013,19(5):771-775.
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[7]芦海英,肖静,于彩钰,等.骨科大手术后下肢深静脉血栓的预防41例护理措施探讨[J].求医问药:学术版,2013,11(1):553-554.
[8]吴晨光,宗军,蒋臻欢,等.导致骨科手术患者术后发生下肢深静脉血栓的危险因素[J].中国临床医生杂志,2015,43(11):67-69.
[9]叶颖爱.集束化护理干预预防骨科术后下肢深静脉血栓形成的效果观察[J].护理实践与研究,2016,13(13):41-42.
[10]翟颖.护理干预对骨科术后下肢深静脉血栓的预防作用[J].吉林医学,2013,34(35):7502-7504.
[11]张薇.骨科手术后下肢深静脉血栓的预防及护理对策[J].大家健康,2013,7(9下旬版):157-158.
[12]赵海峰.老年骨科手术患者下肢深静脉血栓治疗分析[J].医学理论与实践,2013,26(7):901-902.
[2]高锦霞,曹爱春.骨科手术后并发下肢深静脉血栓的预防及护理[J].西部中医药,2013,26(2):102-104.
[3]谭宏星.骨科手术后下肢深静脉血栓形成原因探讨[J].中国保健营养,2013,23(1):168-169.
[4]韦明敏.为接受骨科手术的患者用低分子肝素预防其发生下肢深静脉血栓的效果研究[J].当代医药论丛,2016,14(18):107-108.
[5]柳倩.护理干预对预防骨科手术后并发下肢深静脉血栓的影响分析[J].心理医生,2016,22(19):224-225.
[6]易海华,葛清花.综合护理干预预防骨科手术患者下肢深静脉血栓的护理体会[J].临床合理用药杂志,2016,9(31):136-137.
[7]芦海英,肖静,于彩钰,等.骨科大手术后下肢深静脉血栓的预防41例护理措施探讨[J].求医问药:学术版,2013,11(1):553-554.
[8]吴晨光,宗军,蒋臻欢,等.导致骨科手术患者术后发生下肢深静脉血栓的危险因素[J].中国临床医生杂志,2015,43(11):67-69.
[9]叶颖爱.集束化护理干预预防骨科术后下肢深静脉血栓形成的效果观察[J].护理实践与研究,2016,13(13):41-42.
[10]翟颖.护理干预对骨科术后下肢深静脉血栓的预防作用[J].吉林医学,2013,34(35):7502-7504.
[11]张薇.骨科手术后下肢深静脉血栓的预防及护理对策[J].大家健康,2013,7(9下旬版):157-158.
[12]赵海峰.老年骨科手术患者下肢深静脉血栓治疗分析[J].医学理论与实践,2013,26(7):901-902.