Autar和Caprini深静脉血栓形成风险评估表在ICU的应用效果比较
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摘要
[目的]分析Autar和Caprini深静脉血栓形成风险评估表在ICU的应用效果。[方法]将108例病人采用随机数字表法分为A组、B组和C组,A组病人采取常规方法预防下肢深静脉血栓发生。B组和C组病人分别采用Autar和Caprini深静脉血栓形成风险评估表进行护理干预。护理工作完成后,从病人股静脉血流平均速度、血流峰速度和下肢深静脉血栓的发生率方面对护理效果进行观察比较。[结果]C组病人股静脉血流平均速度和血流峰速度均好于A组和B组病人(P<0.05)。在下肢深静脉血栓的发生率方面,C组病人发生率低于A组(P<0.017)。[结论]Caprini深静脉血栓形成风险评估更适宜ICU病人的使用,有效预防病人下肢深静脉血栓的发生。
Objective:To analyze the application effect of the Autar and Caprini deep vein thrombosis risk assessment form in the ICU.Methods:108 patients were divided into groups A,B and C by random number table method.Group A patients took conventional methods to prevent the occurrence of deep venous thrombosis of lower extremities.Patients in group B and group C were treated with Autar and Caprini deep vein thrombosis risk assessment forms for nursing intervention.After the completion of the nursing work,the nursing effect was observed and compared from the average blood flow velocity of the femoral vein,the peak velocity of blood flow and the incidence of deep vein thrombosis of the lower extremity.Results:The average velocity of blood flow and peak velocity of blood flow in patients with group C were better than those in group A and B(P<0.05).In the incidence of deep venous thrombosis of the lower extremity,the incidence of patients in group C was lower than that in group A(P<0.017).Conclusions:Caprini deep vein thrombosis risk assessment is more suitable for the use of ICU,effectively preventing the occurrence of deep venous thrombosis in patients with lower extremities.
Objective:To analyze the application effect of the Autar and Caprini deep vein thrombosis risk assessment form in the ICU.Methods:108 patients were divided into groups A,B and C by random number table method.Group A patients took conventional methods to prevent the occurrence of deep venous thrombosis of lower extremities.Patients in group B and group C were treated with Autar and Caprini deep vein thrombosis risk assessment forms for nursing intervention.After the completion of the nursing work,the nursing effect was observed and compared from the average blood flow velocity of the femoral vein,the peak velocity of blood flow and the incidence of deep vein thrombosis of the lower extremity.Results:The average velocity of blood flow and peak velocity of blood flow in patients with group C were better than those in group A and B(P<0.05).In the incidence of deep venous thrombosis of the lower extremity,the incidence of patients in group C was lower than that in group A(P<0.017).Conclusions:Caprini deep vein thrombosis risk assessment is more suitable for the use of ICU,effectively preventing the occurrence of deep venous thrombosis in patients with lower extremities.
引文
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[15]孟蕊.Caprini风险评估模型在预防ICU患者深静脉血栓中的实践效果[J].血栓与止血,2017,23(6):1055-1056.
[2]黄根林,黄燕,李又佳.低分子肝素联合康复训练预防脑卒中后下肢深静脉血栓形成的研究[J].中国医药科学,2017,7(7):175-176.
[3]高金亚,尤晴,李艺楠.集束化护理预防ICU患者行CRRT治疗下肢深静脉血栓形成的效果观察[J].安徽预防医学杂志,2017,23(5):373-375.
[4]彭韵玲.集束化护理对预防ICU患者中心静脉导管血流感染临床观察[J].医学临床研究,2017,34(1):205-207.
[5]梁妮,李春容.Autar量表在骨科大手术患者深静脉血栓形成风险评估中的应用[J].护理实践与研究,2013,10(2):49-50.
[6]孟蕊,马春园.Caprini风险评估模型在预防ICU患者深静脉血栓中的实践效果[J].血栓与止血学,2017,23(6):1055-1056.
[7]徐文洁,鲍爱琴.一例PICC相关上肢深静脉血栓形成后置入上腔静脉滤器并保留导管患者的护理[J].护士进修杂志,2016,31(24):2302-2303.
[8]GEERTS W,SELBY R.Prevention of venous thromboembolism inthe ICU[J].Chest,2003,124(6):357-363.
[9]晓涵,卢根娣,国外静脉血栓栓塞症风险评估工具的研究进展[J].护理学杂志,2014,29(10):95-96.
[10]王晓珂,张红虹.老年患者髋关节置换术后预防下肢深静脉血栓形成的护理[J].护理与康复,2015,14(4):344-345.
[11]王罡.226例骨科手术后下肢深静脉血栓的防治措施[J].中国医药导报,2010,7(4):31-32.
[12]邓物鲜.中药内服配合推拿防治髋关节置换术后DVT形成的临床观察[J].中医药导报,2010,16(12):57-58.
[13]郑绍青.深静脉血栓形成风险因素评估表在ICU患者中的应用[J].齐鲁护理杂志,2014,20(17):48-49.
[14]刘粉霞.Autar量表评估指引下的早期护理干预对ICU患者DVT防治效果的探讨[J].世界最新医学信息文摘,2017,17(93):266-267.
[15]孟蕊.Caprini风险评估模型在预防ICU患者深静脉血栓中的实践效果[J].血栓与止血,2017,23(6):1055-1056.