CAJ | 학술논문

目的：探讨骨科术后卧床病人深静脉血栓形成的危险因素及相关的护理对策。方法将2013年11月至2014年12月手术后发生深静脉血栓形成的病例60例，进行整理分析资料，找出相关危险因素，统计出发生率。结果脑血管病因素占34％，肿瘤因子占11．67％，创伤严重占34％，患肢静脉输液占8．33％，患肢制动占13．33％。结论骨科术后卧床病人深静脉血栓形成的危险因素中脑血管病因素及创伤严重所占比例最高，要引起高度重视，但是在患肢进行静脉输液这一原因也不可忽视，同时患肢制动也要引起骨科护士的注意，要及时采取相应的措施，减少发生率是主要目的。
목적：탐토골과술후와상병인심정맥혈전형성적위험인소급상관적호리대책。방법장2013년11월지2014년12월수술후발생심정맥혈전형성적병례60례，진행정리분석자료，조출상관위험인소，통계출발생솔。결과뇌혈관병인소점34％，종류인자점11．67％，창상엄중점34％，환지정맥수액점8．33％，환지제동점13．33％。결론골과술후와상병인심정맥혈전형성적위험인소중뇌혈관병인소급창상엄중소점비례최고，요인기고도중시，단시재환지진행정맥수액저일원인야불가홀시，동시환지제동야요인기골과호사적주의，요급시채취상응적조시，감소발생솔시주요목적。
Objective To investigate the risk factors and nursing methods for patients developing deep venous thrombosis and sta-ying in bed after orthopaedic surgery.Methods 60 cases with deep venous thrombosis after surgery from November 2013 till Decem-ber 2014 were analyzed, related risk factors found out and the incidence calculated.Result Risk factors include cerebral vascular disease (34%), tumor (11.67%), serious trauma (34%), limb venous infusion (8.33%) and limb braking (13.33%).Con-clusion Among all the factors causing deep venous thrombosis for patients staying in bed after orthopaedic surgery, cerebral vascular disease consists of the highest percentage, which requires close attention.However, limb venous infusion can not be ignored and meanwhile limb brake needs to be cared for by nurses, so that corresponding measures can be taken in time to reduce the incidence of the disease.