CAJ | 학술논문

目的：探讨护理干预预防关节置换术后深静脉血栓形成的临床效果。方法选择2014年1~12月我院收治的64例关节置换术患者作为研究对象，将其随机分为观察组和对照组，每组32例。对照组患者采用常规护理，观察组在常规护理基础上进行护理干预，观察两组患者术后1周内下肢静脉血栓及下肢肿胀情况、肢体温度以及肢体表Human征及Nenhof征。结果观察组的下肢静脉血栓和下肢肿胀发生率分别为0和3.12%，显著低于对照组的12.50%和15.62%(P<0.05)；两组术前的肢体体温无显著性差异(P>0.05)，观察组术后的肢体体温显著低于对照组(P<0.05)；观察组的Human征和Nenhof征的发生率分别为18.75%和15.62%，显著低于对照组的56.25%和50.00%(P<0.05)。结论护理干预能够减少并预防关节置换术后深静脉血栓形成的症状和体征，值得临床推广应用。
목적：탐토호리간예예방관절치환술후심정맥혈전형성적림상효과。방법선택2014년1~12월아원수치적64례관절치환술환자작위연구대상，장기수궤분위관찰조화대조조，매조32례。대조조환자채용상규호리，관찰조재상규호리기출상진행호리간예，관찰량조환자술후1주내하지정맥혈전급하지종창정황、지체온도이급지체표Human정급Nenhof정。결과관찰조적하지정맥혈전화하지종창발생솔분별위0화3.12%，현저저우대조조적12.50%화15.62%(P<0.05)；량조술전적지체체온무현저성차이(P>0.05)，관찰조술후적지체체온현저저우대조조(P<0.05)；관찰조적Human정화Nenhof정적발생솔분별위18.75%화15.62%，현저저우대조조적56.25%화50.00%(P<0.05)。결론호리간예능구감소병예방관절치환술후심정맥혈전형성적증상화체정，치득림상추엄응용。
Objective To explore the clinical efficacy of nursing intervention in the prevention of deep vein thrombosis after joint replacement. Methods 64 patients with undergone joint replacement admitted into our hospital from January 2014 to December 2014 were selected as research objects.They were evenly divided into observation group and control group in random,32 cases in each group.In the control group,conventional nursing was applied,while in the observation group,on the basis of conventional nursing,nursing intervention was adopted.The thrombus of lower extremity veins within one week after surgery,lower extrimities swelling,body temperature and signs of Human and Nenhof in two groups were observed. Results The occurrences of thrombus of lower extremity veins and lower extrimities swelling in the ob-servation group was 0%and3.12% respectively,which was significantly lower than those in the control group(12.5% and 15.62%)(P<0.05).There was no significant difference in body temperature in two groups before operation (P>0.05).After surgery,the body temperature in observation group was greatly lower than that of control group(P<0.05).The incidence of Human sign and Nenhof sign in observation group was 18.75% and 15.62% respectively,which was significantly lower than those of control group (56.25% and 50.00%)(P<0.05). Conclusion Nursing intervention can reduce the symptoms and signs of deep vein thrombosis after joint replacement,which is worthy of clinical promotion and application.