早期护理干预对糖尿病患者髋部骨折术后深静脉血栓形成的影响

摘要

Objective To observe the effect of early nursing intervention ( ENT ) on formation of deep veinthrombosis ( DVT ) in diabetic patients undergoing surgery for hip fracture.Methods 93 diabetic patients with hip fracture who had been hospitalized during the period of From July 2008 to November 201 1 were randomly assigned to early nursing intervention group ( 48 patients,ENT group ) or routine nursing intervention group ( 43 patients,RNT group ).ENT group received nursing intervention from the first day of admission,while RNT group received nursing intervention only after surgery.The incidence rate of DVT was compared between the two groups after surgery.Results The rate of DVT was 6.2％ in ENT group and 26.7％ in RNT group,with a statistical difference ( P＜ 0.01 ).Conclusions Early nursing intervention can effectively reduce the formation of deep vein thrombosis in diabetic patients undergoing surgery for hip fracture.It is of significance for reducing postoperative complications and promoting early recovery in patients.%目的 观察早期护理干预对糖尿病患者髋部骨折术后深静脉血栓形成( DVT)的影响.方法 将我院骨科2008年6月至2011年11月共收治的糖尿病髋部骨折并需手术的患者93例随机分为早期干预组48例和常规护理组45例,早期干预组在入院第1天开始实施护理干预措施,而常规护理干预组是在术后才开始护理干预.比较两组患者术后DVT的发生情况,结果 早期护理干预组DVT发生率6.2％,常规护理组DVT发生率26.7％,早期护理干预组明显低于常规组,差异有统计学意义(P＜0.01).结论 实行早期护理干预对预防糖尿病患者髋部骨折术后深静脉形成有明显效果,对减少患者术后并发症促进患者早日康复有十分重要意义.