Objective To observe the effect of "5A" nursing in prevention of lower extremity deep venous thrombosis (DVT) of patients with vertebral compression fractures after percutaneous kyphoplasty (PKP).
Methods A total of 200 patients with vertebral compression fractures who underwent PKP surgery in our hospital were selected and divided into observation group and control group according to the random number table method, with 100 cases in each group. Control group was treated with routine nursing, and observation group was combined with "5A" nursing on the basis of routine nursing. The clinical efficacy, incidence of DVT, and changes in prothrombin time (PT), activated partial thromboplastin time (APTT), thrombin time (TT), fibrinogen (FIB) and D-dimer (D-D) before and after surgery were compared. Meanwhile, ambulation time, hospital stay, hospitalization costs and incidence of postoperative complications were compared between the two groups.
Results The total effective rate in observation group was significantly higher while the incidence rate of DVT was significantly lower than that in control group (P < 0.05). There were no significant differences in the PT, APTT, TT and FIB between the two groups before and after surgery (P>0.05). The D-D level in observation group after operation was significantly lower than that in control group (P < 0.05). The ambulation time in observation group was significantly earlier, the hospital stay was significantly shorter, the hospitalization cost was significantly less, and the incidence of postoperative complications was significantly lower than those in control group (P < 0.05).
Conclusion "5A" nursing can effectively improve the hypercoagulability, prevent the occurrence of DVT, promote the recovery, and reduce the pain and economic burden of patients with vertebral compression fractures after PKP.
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