强化护理对STBI术后患者下肢DVT发生率的影响
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摘要
目的探讨强化护理干预对重症颅脑损伤(STBI)术后昏迷患者下肢深静脉血栓(DVT)发生率的影响。方法选取96例STBI术后昏迷患者作为研究对象。依据入院时间的不同,将其分为研究组(n=48)与对照组(n=48)。对照组给予常规护理干预;研究组在常规护理基础上,采用强化护理干预。统计对比两组下肢DVT发生率、下肢静脉指标(腘静脉及股静脉血流速度、下肢DVT直径)。结果护理后,研究组腘静脉、股静脉血流速度均高于对照组,下肢DVT直径小于对照组,差异具有统计学意义(P <0.05);研究组下肢DVT发生率为2.08%(1/48),低于对照组的20.83%(10/48),差异具有统计学意义(P <0.05)。结论强化护理干预应用于STBI术后昏迷患者能促进患者下肢血液循环,有效降低下肢DVT发生率。
Objective To investigate the effect of intensive nursing intervention on the incidence of deep venous thrombosis(DVT) in patients with coma after severe craniocerebral injury(STBI). Methods 96 patients with coma after STBI were selected as the study subjects. According to the time of admission, they were divided into study group(n=48) and control group(n=48). The control group was given routine nursing intervention.The study group adopted intensive nursing intervention on the basis of routine nursing. The incidence of DVT in lower extremities, the blood flow velocity of popliteal vein and femoral vein, and the diameter of DVT in lower extremities were compared between the two groups. Results After treatment, the blood flow velocity of the iliac vein and femoral vein in the study group was higher than that of the control group. The diameter of DVT in the lower limb was smaller than that in the control group, the difference was statistically significant(P<0.05). The incidence of DVT in the lower limb of the study group was 2.08%(1/48) lower than that in the control group 20.83%(10/48), the difference was statistically significant(P<0.05). Conclusion Intensive nursing intervention can improve the blood circulation of lower limbs in patients with coma after STBI, and effectively reduce the incidence of DVT in lower limbs.
Objective To investigate the effect of intensive nursing intervention on the incidence of deep venous thrombosis(DVT) in patients with coma after severe craniocerebral injury(STBI). Methods 96 patients with coma after STBI were selected as the study subjects. According to the time of admission, they were divided into study group(n=48) and control group(n=48). The control group was given routine nursing intervention.The study group adopted intensive nursing intervention on the basis of routine nursing. The incidence of DVT in lower extremities, the blood flow velocity of popliteal vein and femoral vein, and the diameter of DVT in lower extremities were compared between the two groups. Results After treatment, the blood flow velocity of the iliac vein and femoral vein in the study group was higher than that of the control group. The diameter of DVT in the lower limb was smaller than that in the control group, the difference was statistically significant(P<0.05). The incidence of DVT in the lower limb of the study group was 2.08%(1/48) lower than that in the control group 20.83%(10/48), the difference was statistically significant(P<0.05). Conclusion Intensive nursing intervention can improve the blood circulation of lower limbs in patients with coma after STBI, and effectively reduce the incidence of DVT in lower limbs.
引文
[1]谭慧.重型颅脑损伤后并发下肢深静脉血栓形成原因与预见性护理[J].血栓与止血学,2016,22(4):450-452.
[2]党帅,马进显,周国平,等.重症颅脑损伤气管切开患者肺部感染的治疗研究[J].中华医院感染学杂志,2016,26(1):71-73.
[3]雷晓丽.间歇性充气压力泵预防重型颅脑损伤合并下肢骨折术后下肢深静脉血栓形成效果观察[J].陕西医学杂志,2016,45(2):250.
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[5]焦丽娜,贾伟丽,薛苗苗.家属协同护理对重症颅脑损伤患者术后患者肢体功能及预后的影响[J].实用临床医药杂志,2016,20(4):62-64.
[6]赵继红,张红梅,武文杰.重型颅脑损伤患者常见并发症原因分析及护理措施[J].新乡医学院学报,2017,34(5):446-448.
[7]徐萍,王惠华.不同护理方法降低颅脑损伤伴多发伤患者下肢深静脉血栓发生率的效果[J].山西医药杂志,2017,46(22):2820-2822.
[8]纪周琴,宋珍丽,胡秀梅.前列腺电切术后强化护理预防下肢深静脉血栓形成的效果[J].血栓与止血学,2018,24(1):139-140.
[9]顾爱芹,王立春,徐红,等.强化护理干预对冠心病合并慢性心力衰竭患者生存质量的影响[J].中国循证心血管医学杂志,2016,8(9):1116-1118.
[10]陈清燕,戴红燕,郑雅琴.强化护理干预模式对GDM母婴并发症及母婴结局的影响[J].中国医学伦理学,2016,29(3):416-418.
[11]朱宏璐,姜玲,赵艳竹.强化护理干预对手足口病合并脑炎患儿治疗效果及预后的影响[J].实用临床医药杂志,2016,20(2):118-121.
[12]连丽萍.术后强化护理干预对下肢骨折老年患者便秘及下肢静脉血栓的影响[J].解放军预防医学杂志,2016,34(s1):240-241.
[2]党帅,马进显,周国平,等.重症颅脑损伤气管切开患者肺部感染的治疗研究[J].中华医院感染学杂志,2016,26(1):71-73.
[3]雷晓丽.间歇性充气压力泵预防重型颅脑损伤合并下肢骨折术后下肢深静脉血栓形成效果观察[J].陕西医学杂志,2016,45(2):250.
[4]陈丽君,林雅红.综合护理在预防重型颅脑损伤并发下肢深静脉血栓中的应用[J].血栓与止血学,2017,23(5):885-886.
[5]焦丽娜,贾伟丽,薛苗苗.家属协同护理对重症颅脑损伤患者术后患者肢体功能及预后的影响[J].实用临床医药杂志,2016,20(4):62-64.
[6]赵继红,张红梅,武文杰.重型颅脑损伤患者常见并发症原因分析及护理措施[J].新乡医学院学报,2017,34(5):446-448.
[7]徐萍,王惠华.不同护理方法降低颅脑损伤伴多发伤患者下肢深静脉血栓发生率的效果[J].山西医药杂志,2017,46(22):2820-2822.
[8]纪周琴,宋珍丽,胡秀梅.前列腺电切术后强化护理预防下肢深静脉血栓形成的效果[J].血栓与止血学,2018,24(1):139-140.
[9]顾爱芹,王立春,徐红,等.强化护理干预对冠心病合并慢性心力衰竭患者生存质量的影响[J].中国循证心血管医学杂志,2016,8(9):1116-1118.
[10]陈清燕,戴红燕,郑雅琴.强化护理干预模式对GDM母婴并发症及母婴结局的影响[J].中国医学伦理学,2016,29(3):416-418.
[11]朱宏璐,姜玲,赵艳竹.强化护理干预对手足口病合并脑炎患儿治疗效果及预后的影响[J].实用临床医药杂志,2016,20(2):118-121.
[12]连丽萍.术后强化护理干预对下肢骨折老年患者便秘及下肢静脉血栓的影响[J].解放军预防医学杂志,2016,34(s1):240-241.