CAJ | 학술논문

目的：探讨合理的防治骨科静脉血栓栓塞的方法。方法选择2012年12月至2013年12月在我院接受骨科手术的患者142例，随机分成研究组和对照组每组71例，对照组采用术前常规护理及治疗，研究组在常规护理的同时，进行预防性宣教并给予综合护理，统计两组患者静脉血栓栓塞的发生率。结果研究组患者深静脉血栓形成发生率为8.45%，肺动脉血栓栓塞症发生率为1.41%；对照组深静脉血栓形成发生率为50.70%，肺动脉血栓栓塞症发生率为11.27%，研究组静脉血栓栓塞的发生率显著低于对照组，有统计学意义（P＜0.05）。结论在骨科手术中提前对患者进行有效的预防能显著降低静脉血栓栓塞的发生率，术后进行综合性治疗患者的临床治愈率较高。
목적：탐토합리적방치골과정맥혈전전새적방법。방법선택2012년12월지2013년12월재아원접수골과수술적환자142례，수궤분성연구조화대조조매조71례，대조조채용술전상규호리급치료，연구조재상규호리적동시，진행예방성선교병급여종합호리，통계량조환자정맥혈전전새적발생솔。결과연구조환자심정맥혈전형성발생솔위8.45%，폐동맥혈전전새증발생솔위1.41%；대조조심정맥혈전형성발생솔위50.70%，폐동맥혈전전새증발생솔위11.27%，연구조정맥혈전전새적발생솔현저저우대조조，유통계학의의（P＜0.05）。결론재골과수술중제전대환자진행유효적예방능현저강저정맥혈전전새적발생솔，술후진행종합성치료환자적림상치유솔교고。
Objective To investigate the prevention and treatment of orthopedic reasonable method of venous thromboembolism. Methods 142 cases in December 2012 December 2013 patients in our hospital orthopedic surgery were randomly divided into a control group in each study group and 71 patients in the control group using conventional preoperative care and treatment, research in the routine care group while preventive mission and give comprehensive care, the incidence of venous thromboembolism statistics of the two groups of patients. Results pulmonary thromboembolism occurred in the control group was 11.27%,50.70%incidence of deep vein thrombosis, venous research study group of patients with deep vein thrombosis was 8.45%incidence of pulmonary thromboembolism formation of 1.41%, the incidence of thromboembolism was significantly lower than the control group, there was statistically significant(P<0.05). Conclusions In advance of orthopedic surgery patients effective prevention can significantly reduce the incidence of venous thromboembolism, postoperative comprehensive treatment of patients with a high clinical cure rate.