髋关节置换术中预防下肢深静脉血栓形成的护理干预
Nursing intervention on prevention of deep venous thrombosis of lower extremity in total hip arthroplasty
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摘要: 目的 探讨在髋关节置换手术过程中实施护理干预措施对下肢深静脉血栓形成(DVT)的影响.方法 选取本院骨科实施髋关节置换手术的66例患者作为研究对象,随机分为对照组和干预组,各33例.手术期间对照组采用常规护理,干预组采用综合性护理干预,在术中对两组患者深静脉血栓的发生率进行比较.结果 对照组有3例患者在术中发生了肺栓塞,术后1月内有5例出现了DVT;干预组1例在手术过程中发生了肺栓塞,术后1月内发生DVT2例,2组比较差异有统计学意义(P<0.05).结论 对实施髋关节置换手术的患者进行术中进行综合性护理干预,可以有效降低髋关节置换术患者深静脉血栓的发生率,减少后期康复风险,提高患者的预后质量.Abstract: Objective To investigate nursing intervention on prevention of deep venous thrombosis of lower extremity in total hip arthroplasty (DVT).Methods A total of 66 patients with orthopedic replacement surgery in our hospital were randomly divided into control group and treatment group,with 33 cases in each group,given conventional care and comprehensive nursing intervention,respectively.The incidences of deep vein thrombosis were compared.Results Pulmonary embolism occurred in three patients during surgery in the control group,and one patient in the treatment group.And 5 cases occurred DVT after one month in the control group,one patient with DVT in treatment group,and there was significantly difference in two groups (P < 0.05).Conclusion Comprehensive nursing intervention for patients undergoing hip replacement surgery can effectively reduce the incidence of deep venous thrombosis,reduce the risk of rehabilitation,and improve the prognosis of patients.