中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
1期
158-160
,共3页
子宫全切术%下肢深静脉血栓形成%优质护理
子宮全切術%下肢深靜脈血栓形成%優質護理
자궁전절술%하지심정맥혈전형성%우질호리
Hysterectomy%Deep venous thrombosis%High quality care
目的：探讨优质护理对腹腔镜子宫全切术后下肢深静脉血栓形成的影响。方法选取72例行腹腔镜子宫全切术的患者作为研究对象，随机分为实验组和对照组，各36例。对照组采用常规护理，实验组采用优质护理。比较两组的下肢深静脉血栓形成症状、下肢深静脉血栓形成发生率、术后疾病好转时间和住院时间。结果实验组的下肢肿胀、下肢发热、浅静脉曲张、Homans征阳性发生率显著低于对照组，差异有统计学意义(P<0.05)；实验组的疼痛发生率显著低于对照组，差异有统计学意义(P<0.01)。实验组的下肢深静脉血栓形成发病率为2.78%，显著低于对照组的22.22%，差异有统计学意义(P<0.05)。实验组的手术后好转时间和住院时间显著短于对照组，差异有统计学意义(P<0.05)。结论针对患者子宫全切术后下肢深静脉血栓形成的优质护理可有效预防术后下肢深静脉血栓形成。
目的：探討優質護理對腹腔鏡子宮全切術後下肢深靜脈血栓形成的影響。方法選取72例行腹腔鏡子宮全切術的患者作為研究對象，隨機分為實驗組和對照組，各36例。對照組採用常規護理，實驗組採用優質護理。比較兩組的下肢深靜脈血栓形成癥狀、下肢深靜脈血栓形成髮生率、術後疾病好轉時間和住院時間。結果實驗組的下肢腫脹、下肢髮熱、淺靜脈麯張、Homans徵暘性髮生率顯著低于對照組，差異有統計學意義(P<0.05)；實驗組的疼痛髮生率顯著低于對照組，差異有統計學意義(P<0.01)。實驗組的下肢深靜脈血栓形成髮病率為2.78%，顯著低于對照組的22.22%，差異有統計學意義(P<0.05)。實驗組的手術後好轉時間和住院時間顯著短于對照組，差異有統計學意義(P<0.05)。結論針對患者子宮全切術後下肢深靜脈血栓形成的優質護理可有效預防術後下肢深靜脈血栓形成。
목적：탐토우질호리대복강경자궁전절술후하지심정맥혈전형성적영향。방법선취72례행복강경자궁전절술적환자작위연구대상，수궤분위실험조화대조조，각36례。대조조채용상규호리，실험조채용우질호리。비교량조적하지심정맥혈전형성증상、하지심정맥혈전형성발생솔、술후질병호전시간화주원시간。결과실험조적하지종창、하지발열、천정맥곡장、Homans정양성발생솔현저저우대조조，차이유통계학의의(P<0.05)；실험조적동통발생솔현저저우대조조，차이유통계학의의(P<0.01)。실험조적하지심정맥혈전형성발병솔위2.78%，현저저우대조조적22.22%，차이유통계학의의(P<0.05)。실험조적수술후호전시간화주원시간현저단우대조조，차이유통계학의의(P<0.05)。결론침대환자자궁전절술후하지심정맥혈전형성적우질호리가유효예방술후하지심정맥혈전형성。
Objective To explore influence of the high quality care for patients with deep vein thrombosis after laparo-scopic hysterectomy surgery. Methods 72 cases with laparoscopic hysterectomy were selected and randomly divided in-to the experimental group and the control group,36 cases in each group.The experimental group was given high quality care for postoperative deep venous thrombosis,the control group was given conventional abdominal surgery care.Symp-toms of deep vein thrombosis,the incidence of deep vein thrombosis,postoperative disease better time,hospitalization time in two groups was compared respectively. Results The incidence of leg swelling,leg fever,varicose veins,positive Homans sign in the experimental group was lower than that in the control group,with significant difference(P<0.05).The incidence of pain in the experimental group was lower than that in the control group,with significant difference(P<0.01). The incidence of DVT in the experimental group was 2.78%,which was lower than 22.2% in the control group,with sig-nificant difference (P<0.05).Postoperative disease better time and hospitalization time in the experimental group after surgery was shorter than that in the control group,with significant difference(P<0.05). Conclusion The high quality care for patients with deep venous thrombosis after hysterectomy can effectively prevent postoperative deep vein thrombosis.
