关节置换术后深静脉血栓形成相关危险因素的护理评估被引量：24

Nursing evaluation on related risk factors of patients complicated with post-operative deep venous thrombosis after undergoing joint replacement

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摘要 [目的]分析关节置换病人术后深静脉血栓形成(DVT)的危险因素,为完善护理评估及护理措施提供依据。[方法]通过查阅相关文献,筛选提取了14项DVT影响因素变量,对102例髋、膝关节置换病人进行各因素的调查和分析。[结果]单因素分析结果显示,手术时间、不同手术部位等7项因素与术后血浆D-二聚体水平显著相关;多因素线性回归分析显示,早期活动、抗凝药物种类及使用骨水泥3项因素与术后血浆D-二聚体水平有相关性。[结论]关节置换术后DVT的危险因素较复杂,护理过程中应重视对各类危险因素的全面评估;是否早期活动、使用何种抗凝药物及是否使用骨水泥是DVT的高危因素,提示护理过程中需要进行重点评估。 Objective：To analyze the risk factors of patients complicated with post-operative deep venous thrombosis（DVT） after undergoing joint replacement,to provide some bases to perfect nursing evaluation and nursing strategies.Methods：Through searching for and reviewing related literatures,14 items of DVT influencing factors variables were screened and selected.And a total of 102 cases of hip or knee joint replacement patients were investigated and analyzed on all factors.Results：Single factor regression analysis showed seven factors such as time and different area of operation and so on of these patients were significantly correlated with post-operative plasma D-dimmers level of them.Multiple factors linear regression analysis showed that three factors including patients conducting early activity or not,using which anticoagulant and using bone cement or not were significantly correlated with post-operative plasma D-dimmers level of them.Conclusion：Risk factors for patients to develop post-operative deep venous thrombosis after undergoing joint replacement were more complicate.One should pay attention to the whole evaluation on all risk factors in the course of nursing care of patients.High risk factors of patients complicated with DVT were including early activity or not,using which anticoagulant and using bone cement or not,which suggested these points should be evaluated in emphasis in the course of nursing care.

作者唐泓源张黎明皮红英张明学屈波杨明玉

机构地区中国人民解放军总医院

出处《护理研究（上旬版）》 2007年第10期2564-2567,共4页 Chinese Nursing Researsh

关键词早期活动关节置换深静脉血栓形成危险因素护理 early mobilization joint replacement deep venous thrombosis risk factor nursing care

分类号 R473.6 [医药卫生—护理学]

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参考文献10

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