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肾病综合征伴下肢深静脉血栓的危险因素及护理对策 被引量:3

The risk factors and countermeasures of Nephritic Syndrome with Deep Venous Thrombosis of Lower limbs
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摘要 目的:探讨肾病综合征合并下肢深静脉血栓形成的危险因素及护理对策。方法:回顾性分析281例肾病综合征患者临床资料,对患者合并下肢深静脉血栓形成的危险因素进行探讨,并制定有效的护理对策。结果:肾病综合征合并下肢深静脉血栓形成的独立危险因素包括大量或长时间应用激素、近3年血栓史、留置静脉管道、接受肾穿刺活检术、心血管疾病、软组织损伤或骨折、外科手术、肢体活动受限、3年以上免疫系统疾病或上静脉曲张、年龄≥50岁。结论:大量或长时间应用激素、近3年血栓史、留置静脉管道、接受肾穿刺活检术、心血管疾病、软组织损伤或骨折、外科手术、肢体活动受限、3年以上免疫系统疾病或上静脉曲张、年龄是肾病综合征合并下肢深静脉血栓形成的危险因素,临床中应根据患者情况制定针对性的护理对策,进而有效预防和控制下肢深静脉血栓。 Objective:To analyze the risk factors and nursing strategies of nephritic syndrome complicatedwith deep venous thrombosis of lower extremity patients.Methods: Retrospectively analyzed the clinical data of281 cases of nephritic syndrome patients, discussed the risk factors of nephritic syndrome complicated with deepvenous thrombosis of lower extremity, and established effective nursing countermeasures.Results: Multivariateanalysis results showed that the independent risk factors of nephritic syndrome complicated with deep venousthrombosis of lower extremity included heavy or prolonged use of hormones, rhombus history in recent 3 years,indwelling venous conduit, received renal biopsy, cardiovascular disease, soft tissue injury or fracture, surgery,limited limb movement, immune system disease or varicose vein more than 3 years, Age≥ 50 years old.Conclusion: Heavy or prolonged use of hormones, rhombus history in recent 3 years, indwelling venous conduit,received renal biopsy, cardiovascular disease, soft tissue injury or fracture, surgery, limited limb movement,immune system disease or varicose vein more than 3 years, Age are the risk factor of nephritic syndromecomplicated with deep venous thrombosis of lower extremity, in clinical practice, it should be made specificnursing countermeasures according to the specific situation of patients, then to prevent and control the deep venousthrombosis of lower extremity effectively.
作者 王磊 WANG Lei(The Second Affiliated Hospital of Anhui Medical University,Hefei 230601,Anhui)
出处 《安徽卫生职业技术学院学报》 2018年第5期63-65,共3页 Journal of Anhui Health Vocational & Technical College
关键词 肾病综合征 下肢深静脉血栓 危险因素 护理对策 Nephritic syndrome Lower extremity deep venous thrombosis Risk factors Nursing countermeasures
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