护理干预预防髋关节手术患者下肢深静脉血栓(1)
[摘要] 目的 探討护理干预对预防髋关节手术患者深静脉血栓(DVT)发生的影响。 方法 回顾性分析2013年6月～2016年6月我院手术治疗的髋关节手术120例，按护理方式的不同分为两组，各60例。对照组仅采用常规护理，而研究组在基础护理上接受防止下肢深静脉血栓的护理干预。研究组其中男性25例，女性35例；年龄36～91岁，平均(72.5±10.5)岁。手术类别为股骨近端骨折26例，髋臼骨折4例，半髋关节置换18例，全髋关节置换12例；对照组其中男性28例，女性32例；年龄40～92岁，平均(73.6±12.3)岁。手术类别为股骨近端骨折24例，髋臼骨折3例，半髋关节置换20例，全髋关节置换13例；两组人员性别、年龄、手术类别等一般资料比较差异无统计学意义(P>0.05)，具有可比性。比较两组患者的下肢深静脉血栓发生率及手术后住院时间。 结果 患者均获得随访，随访时间8～36月，平均随访18.5月。研究组共计发生2例DVT，无肺动脉栓塞发生，DVT发生率为3.33%。对照组共计发生7例DVT，1例发生肺动脉栓塞而死亡，DVT发生率为11.6%，下肢深静脉血栓发生率结果比较差异有统计学意义(P<0.05)。研究组手术后住院时间为(10.3±2.4)d、对照组为(18.6±3.1)d，差异比较有统计学意义(P<0.05)。 结论 采取护理干预可以有效预防DVT的发生，提高髋关节手术成功率，改善髋关节手术患者术后生活质量，缩短住院时间。
[关键词] 髋关节手术；深静脉血栓；预防；护理
[中图分类号] R473.5 [文献标识码] A [文章编号] 2095-0616(2017)16-116-04
Nursing intervention to prevent deep vein thrombosis in lower extremity of hip arthroplasty
GU Juanjuan SHEN Huaying YU Ruijuan
Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University in Shanghai City， Shanghai 210700， China
[Abstract] Objective To investigate the effect of nursing intervention on the prevention of deep venous thrombosis (DVT) in patients with hip surgery. Methods A retrospective analysis of 120 hip joint operations from June 2013 to June 2016 in our hospital was divided into two groups： 60 groups and 60 control groups. The control group was only used for routine care， and the study group received nursing intervention to prevent deep venous thrombosis in lower extremities. There were 25 males and 35 females in the study group. Age 36-91 years old， average (72.5±10.5) years. There were 26 cases of proximal femoral fracture， 4 cases of acetabular fracture， 18 cases of hip replacement and 12 cases of total hip replacement. In the control group， there were 28 males and 32 females. Age 40 - 92 years， average (73.6±12.3) years old. There were 24 cases of proximal femoral fracture， 3 cases of acetabular fracture， 20 cases of hip replacement and 13 cases of total hip replacement. There was no difference between the two groups in gender， age and surgical category (P>0.05). The incidence of deep venous thrombosis and postoperative hospitalization were compared between the two groups. Results Patients were followed up for 8-36 months， with an average follow-up of 18.5 months. Two cases of DVT and no pulmonary embolism occurred in the study group， and the incidence of DVT was 3.33%. A total of 7 cases of DVT occurred in the control group， 1 had pulmonary embolism and the incidence of DVT was 11.6%， and the incidence of deep venous thrombosis in lower extremity was statistically significant (P<0.05). In the study group and the control group， the length of hospital stay was (10.3±2.4) d， (18.6±3.1) d， and the difference was statistically significant (P<0.05). Conclusion Adopt nursing intervention can effectively prevent the occurrence of DVT， improve the success rate of hip surgery， significantly improve the quality of life of postoperative patients with hip surgery， can shorten the length of hospital stay., 百拇医药(顾娟娟?沈华英?俞瑞娟)
[关键词] 髋关节手术；深静脉血栓；预防；护理
[中图分类号] R473.5 [文献标识码] A [文章编号] 2095-0616(2017)16-116-04
Nursing intervention to prevent deep vein thrombosis in lower extremity of hip arthroplasty
GU Juanjuan SHEN Huaying YU Ruijuan
Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University in Shanghai City， Shanghai 210700， China
[Abstract] Objective To investigate the effect of nursing intervention on the prevention of deep venous thrombosis (DVT) in patients with hip surgery. Methods A retrospective analysis of 120 hip joint operations from June 2013 to June 2016 in our hospital was divided into two groups： 60 groups and 60 control groups. The control group was only used for routine care， and the study group received nursing intervention to prevent deep venous thrombosis in lower extremities. There were 25 males and 35 females in the study group. Age 36-91 years old， average (72.5±10.5) years. There were 26 cases of proximal femoral fracture， 4 cases of acetabular fracture， 18 cases of hip replacement and 12 cases of total hip replacement. In the control group， there were 28 males and 32 females. Age 40 - 92 years， average (73.6±12.3) years old. There were 24 cases of proximal femoral fracture， 3 cases of acetabular fracture， 20 cases of hip replacement and 13 cases of total hip replacement. There was no difference between the two groups in gender， age and surgical category (P>0.05). The incidence of deep venous thrombosis and postoperative hospitalization were compared between the two groups. Results Patients were followed up for 8-36 months， with an average follow-up of 18.5 months. Two cases of DVT and no pulmonary embolism occurred in the study group， and the incidence of DVT was 3.33%. A total of 7 cases of DVT occurred in the control group， 1 had pulmonary embolism and the incidence of DVT was 11.6%， and the incidence of deep venous thrombosis in lower extremity was statistically significant (P<0.05). In the study group and the control group， the length of hospital stay was (10.3±2.4) d， (18.6±3.1) d， and the difference was statistically significant (P<0.05). Conclusion Adopt nursing intervention can effectively prevent the occurrence of DVT， improve the success rate of hip surgery， significantly improve the quality of life of postoperative patients with hip surgery， can shorten the length of hospital stay., 百拇医药(顾娟娟?沈华英?俞瑞娟)