摘要
目的 探讨脑出血患者术后下肢深静脉血栓形成的相关因素及相应的护理对策.方法 对我科脑出血手术患者下肢深静脉血栓的发生情况进行回顾性分析,并分析可能影响其下肢深静脉血栓的相关因素,制定出护理对策.结果 脑出血患者术后下肢深静脉血栓的发生率为20.35%,发生部位以左下肢最高.经Logistic多因素回归分析,与下肢深静脉血栓发生相关的因素有5个,分别是高龄、糖尿病、应用甘露醇、股静脉置管、患侧肢体瘫痪.根据这5个影响因素制定了相应的护理对策.结论 护士应密切观察患者术后体征,包括皮肤颜色、温度、脉搏等;加强高龄、长期卧床、存在高凝状态的脑出血手术患者的术后护理,并及早给予肢体的功能训练,必要时遵医嘱应用抗凝药物,防止下肢深静脉血栓形成的发生.
Objective To explore the relevant factors to the lower extremity deep-venous thrombosis in patients with cerebral hemorrhage after operation. Methods Patients with cerebral hemorrhage in our department were surveyed. The incidence of lower extremity deep-venous thrombosis and its related factors were analyzed. Results The incidence rate of deep-venous thrombosis in the operated patients with cerebral hemorrhage is 20.35%;through logistic regression analysis, five factors related with lower extremity deepvenous thrombosis were found;they were old age, diabetes, mannitol, femoral vein catheter, paralysis of limbs.The highest occurrence rate of lower extremity deep-venous thrombosis is the left lower limb. Conclusions Old age, long-term bed rest, hypercoagulable state with cerebral hemorrhage should be given early limb function training in clinical response;applying the necessary anticoagulant drugs to prevent deep-venous thrombosis occurred.
出处
《中华现代护理杂志》
2010年第35期4233-4235,共3页
Chinese Journal of Modern Nursing
基金
湛江市科技攻关项目（2009C3106008）
关键词
深静脉血栓形成
脑出血
相关因素
护理
Deep-venous thrombosis
Cerebral hemorrhage
Related factors
Nursing
