护理干预对股骨骨折术后下肢深静脉血栓的预防效果

摘要

Objective:To investigate the prevention effect of nursing intervention for deep vein thrombosis of lower limbs after femoral fracture surgery.Method:80 with femoral fixation in our hospital from January 2011 to June 2014 were selected as research objects,they were divided into the observation group and the control group according to the random number table method,40 cases in each group.The observation group were given the nursing intervention,the control group was given the routine care,then the blood coagulation function after three days and the result of lower extremity vascular ultrasound postoperative one week between the two groups were observed and compared.Result:The TT and APTT time of observation group after three days were significantly shorter than those of the control group,the Fib was significantly lower than that of the control group,the differences were statistically significant(P<0.05).The incidence of vascular completely blocked in observation group was 2.5%,which was significantly lower than 22.5%in the control group,the difference was statistically significant(χ²=7.3143,P=0.0068).Conclusion:The effective nursing interventions for preventing the deep vein thrombosis of lower limbs after femoral fracture surgery has positive significance.%目的：探讨护理干预对股骨骨折术后下肢深静脉血栓的预防效果。方法：选取笔者所在医院2011年1月-2014年6月收治的80例股骨骨折内固定患者作为研究对象，按照随机数字法将其分为观察组和对照组，每组40例。观察组实施护理干预，对照组实施常规护理，观察比较两组患者术后3 d的凝血功能情况，并统计两组术后1周下肢血管超声检查结果。结果：观察组术后3 d的凝血功能指标TT和APTT均明显短于对照组，Fib明显低于对照组，差异均有统计学意义(P<0.05)，观察组术后1周血管完全堵塞发生率2.5%明显低于对照组的22.5%，差异有统计学意义(字2=7.3143，P=0.0068)。结论：有效的护理干预对于预防股骨骨折术后下肢深静脉血栓形成具有积极意义。