综合护理干预模式在预防脊柱外伤术后患者深静脉血栓形成中的应用

摘要

目的:探讨综合护理干预模式在预防脊柱外伤术后患者深静脉血栓形成(DVT)中的临床效果.方法:选择2013年3月～2015年3月收治的脊柱外伤患者108例,随机分为观察组和对照组各54例,对照组采用常规护理,观察组在常规护理基础上实施综合护理干预模式,比较两组实验室化验指标、临床疗效和住院时间.结果:两组护理后各项化验指标均有改善,并且观察组化验指标水平显著优于对照组(P＜0.01);观察组下肢疼痛肿胀、DVT和肺栓塞的发生率低于对照组,说明治疗有效率高于对照组(P＜0.01);观察组平均住院时间显著少于对照组(P＜0.01).结论:将综合护理干预模式应用于脊柱外伤手术患者术后,能有效减少患者DVT的发生率,促进患者康复,缩短住院时间,值得在临床上推广.%Objective:To investigate the clinical effect of comprehensive nursing intervention in the prevention of deep venous thrombosis (DVT) in patients with spinal trauma after operation.Methods:108 patients with spinal trauma (treated from March 2013 to March 2015) were randomly divided into the observation group and the control group (54 cases in each group).The routine nursing care was taken in the control group and the comprehensive nursing intervention was additionally implemented in the observation group.The laboratory test index,clinical effect and the length of stay in hospital were compared between the two groups.Results:The test indicators were improved in both groups after nursing intervention and they were significantly better in the observation group than the control group (P ＜0.01);the incidence of pain and swelling,DVT of lower extremity and pulmonary embolism was significantly lower in the observation group than the control group (P ＜ 0.01);the average length of stay in hospital was significantly shorter in the observation group than the control group (P ＜ 0.01).Conclusion:The comprehensive nursing intervention on patients with spinal trauma operation can effectively reduce the incidence of DVT,promote the recovery of the patients and shorten the length of hospital stay.