摘要
目的探讨骨科术后深静脉血栓(DVT)形成的危险因素及护理对策。方法选取120例行骨科手术的患者,通过下肢超声检查,发现DVT患者58例,将其设为观察组,其余62例未发现DVT者设为对照组,分别记录每一位患者的详细资料,并使用Logistic回归分析发生DVT的危险因素。结果年龄、高血压、糖尿病、以及术中术后输血的OR>1,是并发DVT的危险因素。而抗凝治疗及术后锻炼的OR<1,是预防DVT发生的保护因子。结论应根据患者的年龄、是否有糖尿病、高血压等基础疾病进行个体化的护理方案,同时要重视药物抗凝治疗,加强术后患肢锻炼,最大限度的降低DVT的发生,使患者能够尽早康复。
Objective To explore the risk factor of causing deep venous thrombosis （DVT） and the nursing strategy. Meth-ods According the ultrasonic inspection of lower limbs, there were 58 cases DVT patients, who were divided into observation group, the other 62 case patients were set as control group. The information of each patient was recorded respectively and the method of logistic regression was used to analyze the risk factor of causing DVT. Results The risk factors of cause DVT were age, hypertension, diabetes mellitus and blood transfusion （ OR 〉 1 ）. Anticoagulant therapy and postoperative exercise were protec-tive factors to prevent DVT. Conclusion We should perform individualized care plan according to the conditions of patients. At the same time ,we should pay more attention to drug anticoagulation and postoperative limb exercise to decrease the rate of DVT in great extent.
出处
《中华全科医学》
2013年第11期1806-1807,共2页
Chinese Journal of General Practice
