国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2015年
11期
1502-1505
,共4页
丁云霞%李子萍%周观明%谭杏贤
丁雲霞%李子萍%週觀明%譚杏賢
정운하%리자평%주관명%담행현
护理干预%深静脉血栓%效果
護理榦預%深靜脈血栓%效果
호리간예%심정맥혈전%효과
Nursing intervention%Deep vein thrombosis%Effect
目的 分析髋关节置换术患者深静脉血栓病人住院治疗中存在的危险因素,提出有效的干预措施.方法 选取2013年至2014年期间在我院进行人工髋关节置换手术病人50例,将D-二聚体测试含量为(1.50±0.06)μg/ml的患者30例为对照组,将D-二聚体测试含量高达(29.36±20.41) μg/ml的患者20例为研究组,对照组给予一般常规的护理,主要以治疗性护理为主,研究组在治疗性护理的基础上加强心理护理、护理安全等针对性的护理干预.结果 研究组的患者进行综合护理干预,7d后测试D-二聚体的含量为(2.22±0.33)μg/ml,对照组的患者进行一般常规的护理,7d后测试D-二聚体的含量为(0.91±0.05)μg/ml,可见研究组的患者进行综合护理干预后D-二聚体的含量已恢复正常参考范围,未发生更严重的肺栓塞,且患者能够按时出院.结论 对病人进行有针对性的护理干预,同时科学观察D-二聚体含量高低能为深静脉血栓患者的准确定位,有的放矢地对D-二聚体高含量患者进行综合护理干预,对髋关节置换术深静脉血栓疗效显著.
目的 分析髖關節置換術患者深靜脈血栓病人住院治療中存在的危險因素,提齣有效的榦預措施.方法 選取2013年至2014年期間在我院進行人工髖關節置換手術病人50例,將D-二聚體測試含量為(1.50±0.06)μg/ml的患者30例為對照組,將D-二聚體測試含量高達(29.36±20.41) μg/ml的患者20例為研究組,對照組給予一般常規的護理,主要以治療性護理為主,研究組在治療性護理的基礎上加彊心理護理、護理安全等針對性的護理榦預.結果 研究組的患者進行綜閤護理榦預,7d後測試D-二聚體的含量為(2.22±0.33)μg/ml,對照組的患者進行一般常規的護理,7d後測試D-二聚體的含量為(0.91±0.05)μg/ml,可見研究組的患者進行綜閤護理榦預後D-二聚體的含量已恢複正常參攷範圍,未髮生更嚴重的肺栓塞,且患者能夠按時齣院.結論 對病人進行有針對性的護理榦預,同時科學觀察D-二聚體含量高低能為深靜脈血栓患者的準確定位,有的放矢地對D-二聚體高含量患者進行綜閤護理榦預,對髖關節置換術深靜脈血栓療效顯著.
목적 분석관관절치환술환자심정맥혈전병인주원치료중존재적위험인소,제출유효적간예조시.방법 선취2013년지2014년기간재아원진행인공관관절치환수술병인50례,장D-이취체측시함량위(1.50±0.06)μg/ml적환자30례위대조조,장D-이취체측시함량고체(29.36±20.41) μg/ml적환자20례위연구조,대조조급여일반상규적호리,주요이치료성호리위주,연구조재치료성호리적기출상가강심리호리、호리안전등침대성적호리간예.결과 연구조적환자진행종합호리간예,7d후측시D-이취체적함량위(2.22±0.33)μg/ml,대조조적환자진행일반상규적호리,7d후측시D-이취체적함량위(0.91±0.05)μg/ml,가견연구조적환자진행종합호리간예후D-이취체적함량이회복정상삼고범위,미발생경엄중적폐전새,차환자능구안시출원.결론 대병인진행유침대성적호리간예,동시과학관찰D-이취체함량고저능위심정맥혈전환자적준학정위,유적방시지대D-이취체고함량환자진행종합호리간예,대관관절치환술심정맥혈전료효현저.
Objective To provide effective interventions analyzing the risk factors in patients undergoing hip arthroplasty with deep vein thrombosis in hospitalization.Methods 50 patients undergoing hip arthroplasty from 2013 to 2014 at our hospital were chosen.Among which,30 cases whose content of DD-dimer was (1.50 ± 0.06) μg / ml were set as a control group and 20 cases whose content of DD-dimer was (29.36 ± 20.41) μg / ml a study group.The control group received routine nursing care,mainly therapeutic care;in addition,the study group received psycological care,safety nursing,and other targeted interventions.Results 7 days after the nursing intervention,the content of DD-dimer was (2.22 ± 0.33)μg / ml in the study group and was (0.91±0.03) μg/ml in the control group;this result indicated that the content of DD-dimer recover to normal reference range,no more severe pulmonary embolism occurred,and the patients was discharged on time in the study group.Conclusions Scientificly observing the content of DD-dimer and targetedly and comprehensively caring the patients with high level of D-dimer is effective for deep bein thrombosis of hip arthroplasty.
