CAJ | 학술논문

目的：探讨护理干预对髋关节置换手术患者预防下肢深静脉血栓形成的临床效果。方法：选取2010年1月至2013年1月间于我院行髋关节置换手术患者50例,将所有患者按其诊治顺序进行编号,并随机分为对照组(25例)和观察组(25例),给予对照组患者常规护理,观察组在对照组患者护理基础上给予观察组患者综合护理干预,观察两组患者下肢肿胀、疼痛,发绀,浅表静脉充盈,腓肠肌压痛,隐匿性等指标,并进行统计学分析。结果：对照组患者中共出现下肢明显肿胀、疼痛2例,发绀1例,浅表静脉明显充盈3例,腓肠肌明显压痛1例,隐匿性DVT2例(无临床表现,但彩超提示DVT),发生肺栓塞3例,DVT发生率为48%,而观察组患者中共出现下肢明显肿胀、疼痛1例,发绀1例,浅表静脉明显充盈1例,腓肠肌明显压痛0例,隐匿性DVT 1例,发生肺栓塞0例,DVT发生率为20%。两组患者DVT发生率及肺栓塞发生率差异均比较明显,在统计学上有意义(P<0.05)。结论：综合护理干预能够明显降低髋关节置换手术患者DVT发生率,减少肺栓塞的发生,从而改善患者预后,值得推广。
목적：탐토호리간예대관관절치환수술환자예방하지심정맥혈전형성적림상효과。방법：선취2010년1월지2013년1월간우아원행관관절치환수술환자50례,장소유환자안기진치순서진행편호,병수궤분위대조조(25례)화관찰조(25례),급여대조조환자상규호리,관찰조재대조조환자호리기출상급여관찰조환자종합호리간예,관찰량조환자하지종창、동통,발감,천표정맥충영,비장기압통,은닉성등지표,병진행통계학분석。결과：대조조환자중공출현하지명현종창、동통2례,발감1례,천표정맥명현충영3례,비장기명현압통1례,은닉성DVT2례(무림상표현,단채초제시DVT),발생폐전새3례,DVT발생솔위48%,이관찰조환자중공출현하지명현종창、동통1례,발감1례,천표정맥명현충영1례,비장기명현압통0례,은닉성DVT 1례,발생폐전새0례,DVT발생솔위20%。량조환자DVT발생솔급폐전새발생솔차이균비교명현,재통계학상유의의(P<0.05)。결론：종합호리간예능구명현강저관관절치환수술환자DVT발생솔,감소폐전새적발생,종이개선환자예후,치득추엄。
Objective:To investigate the clinical effect of nursing intervention on prevention of deep venous thrombosis of lower extremity of patients with hip replacement operation.Methods:Selected of 50 patients with hip replacement surgery in our hospital from January 2010 to January 2013,,All the patients were divided into control group (25 cases) and observation group (25 cases), according to the diagnosis and treatment of patients with order, The control group was given conventional nursing,The Observation group had not only given routine nursing care, and also gave comprehensive nursing intervention, Observed two groups of patients the indicators, the indicators include:lower limb swelling, pain, cyanosis, superficial venous filling, calf tenderness, secretiveness and so on, then carries on the statistical analysis.Results:The control group,2 cases of lower limb swelling, pain, 1 case of cyanosis, 3 cases of superficial vein was filling, 1 case of occurred gastrocnemius muscle tenderness, 2 cases of occult DVT (no clinical manifestations, but ultrasound, DVT), 3 cases of pulmonary embolism, the incidence of DVT was 48%,The observation group,1 case of lower limb swelling, pain, 1 case of cyanosis, 1 case of superficial vein was filling, No case of gastrocnemius muscle tenderness, 1 case of occult DVT, no case of pulmonary embolism, the incidence of DVT was 20%.Conclusion: Nursing intervention can significantly reduce hip replacement surgery the incidence of DVT and reduce the incidence of pulmonary embolism, thereby improving the prognosis of patients, is worth promoting.