摘要
目的:分析老年髋关节置换术患者下肢深静脉血栓形成(DVT)危险因素,探讨综合护理干预的效果。方法:分析髋关节置换术患者下肢DVT的影响因素。将2012年1月~2014年12月实施骨科常规护理的352例患者分为对照组,将2015年1月~2016年12月实施综合护理干预的363例患者分为观察组。比较两组下肢DVT发生率。结果:年龄、手术时间、失血量、血糖水平、卧床时间是老年髋关节置换术患者DVT的独立危险因素(P<0.05)。观察组术后下肢DVT发生率低于对照组(P<0.05)。结论:年龄、手术时间、失血量、血糖水平、卧床时间是老年髋关节置换术患者DVT的独立危险因素,开展针对性综合护理干预可有效预防髋关节置换术后患者下肢DVT的发生。
Objective：To analyze the risk factors of lower extremity deep venous thrombosis （DVT） in elderly patients with hip replace- ment, and to explore the effect of comprehensive nursing intervention. Methods ： The influencing factors of DVT in patients with hip replace- ment were analyzed. 352 cases in Department of Orthopedics from January 2012 to December 2014 were taken as the control group to carry out the routine nursing care, and 363 cases from January 2015 to December 2016 were taken as the observation group to carry out compre- hensive nursing intervention. The incidence of DVT was compared between two groups. Results ： Age, operative time, blood loss, blood glu- cose level, and bed time were independent risk factors for DVT in elderly patients undergoing hip replacement surgery（ P 〈 0.05 ）. The in- cidence of DVT was significantly lower in the observation group than that in the control group （P 〈 0.05 ）. Conclusion：Age, operation time, blood loss, blood glucose level, bed time are independent risk factors for DVT in elderly patients undergoing hip joint replacement, to carry out targeted comprehensive nursing intervention can effectively prevent the occurrence of patients with lower extremity DVT after hip re- placement.
作者
董桂英
Dong Guiying(The Affiliated Hospital of Jining Medical College, Jining Shandong 272029, Chin)
出处
《齐鲁护理杂志》
2017年第8期20-21,共2页
Journal of Qilu Nursing
关键词
髋关节置换术
深静脉血栓形成
危险因素
综合护理
Hip replacement
Deep venous thrombosis
Risk factors
Comprehensive nursing intervention
