骨科大手术后下肢深静脉血栓形成的原因分析及防治方法研究

摘要

To investigate reason analysis and prevention methods of deep venous thrombosis after major orthopedic surgery.Methods:80 cases of patients underwent major orthopedic surgery in our hospital from February 2011 to February 2013,the patients were randomly divided into prevention group and control group,with 40 cases in each group.The control group was given conventional therapy,and the prevention group was given targeted prevention measures on the basis of the control group.The incidence of deep venous thrombosis and satisfaction degree of patients after major orthopedic surgery were compared.Results:The incidence of deep venous thrombosis of the prevention group was 2.5%,and the incidence of deep venous thrombosis of the control group was 12.5%.The two groups of patients with deep vein the incidence of thrombosis significant difference(P<0.05),with statistical significance.The limb swelling degree of experimental group post-treatment was improved significantly than control group (P<0.05).The satisfaction degree of the prevention group was 97.5%,and the satisfaction degree of the control group was 75.0%.The two groups of patients with deep vein the incidence of thrombosis significant difference(P<0.05),with statistical significance.Conclusion:To take effective preventive measures actively can significantly reduce the incidence of deep venous thrombosis after major orthopedic surgery will be worthy of popularization and application.%目的：探讨骨科大手术后下肢深静脉血栓形成的原因分析及防治方法。方法：选取我院自2011年2月~2013年2月收治的80例行骨科大手术患者，按照随机数字表法分为防治组和对照组各40例，对照组给予常规治疗，防治组在对照组基础上给予针对性防治措施，对两组患者术后下肢深静脉血栓发生率及满意度进行比较。结果：防治组下肢深静脉血栓发生率为12.5%，对照组下肢深静脉血栓发生率为45.0%，两组患者术后下肢深静脉血栓发生率比较有明显差异(P<0.05)，具有统计学意义。防治组患者患肢肿胀改善程度与对照组相比均改善明显，差异有统计学意义(P<0.05)。防治组患者的满意度为97.5%，对照组患者的满意度为75.0%，两组患者术后满意度比较有明显差异(P<0.05)，具有统计学意义。结论：积极采取有效的防治措施，能够显著降低骨科术后下肢深静脉血栓的发生率，值得临床推广与应用。