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术中护理对髋关节置换手术患者下肢深静脉血栓形成的影响

Effect of Intraoperative Nursing on Lower Extremity Deep Venous Thrombosis in Hip Arthroplasty Patients
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摘要 目的评价术中护理干预对髋关节置换手术患者下肢深静脉血栓情况的影响,从而促进髋关节置换手术患者术后康复。方法选择该院骨科2018年7月-2019年4月期间收治治疗的髋关节置换术患者,总计86例。在手术治疗的基础上,结合护理方法不同进行随机分组。参照组43例患者采取常规护理,试验组43例患者配合改进术中护理。对比参照组与试验组髋关节置换手术患者手术时间、术中出血量、术中输血量、下肢静脉血栓等并发症发生率、护理满意度。结果试验组髋关节置换手术患者术中出血量、术中输血量以及并发症发生率均少于参照组,护理满意度高于参照组,差异有统计学意义(P<0.05)。另外,2组患者手术时间比较差异无统计学意义(P>0.05)。结论改善术中护理可以提高对髋关节置换手术患者安全性、降低失血量以及下肢深静脉血栓形成风险。 Objective To evaluate the effect of intraoperative nursing intervention on deep venous thrombosis of lower limbs in patients undergoing hip replacement surgery, so as to promote postoperative rehabilitation of patients undergoing hip replacement surgery. Methods A total of 86 cases of hip replacement patients admitted and treated in our department of orthopedics from July 2018 to April 2019 were selected. On the basis of surgical treatment, combined with different nursing methods for random grouping.43 patients in the reference group were given routine care, while 43 patients in the experimental group were given improved intraoperative care.The operation time, intraoperative blood loss, intraoperative blood transfusion, incidence of complications such as venous thrombosis of lower limbs and nursing satisfaction were compared between the control group and the experimental group. Results The amount of intraoperative blood loss,intraoperative blood transfusion and incidence of complications were lower in the experimental group than in the reference group, and the nursing satisfaction was higher than that in the reference group,the difference was statistically significant(P<0.05).In addition, there was no significant difference in operation time between the two groups(P>0.05). Conclusion Improved intraoperative care can improve the safety of hip replacement patients, reduce blood loss and the risk of deep venous thrombosis in lower limbs.
作者 崔玉洁 牟淑玲 李淑艳 李雪辉 崔淑芝 CUI Yujie;MOU Shuling;LI Shuyan;LI Xuehui;CUI Shuzhi(Daqing Oilfield General Hospital,Daqing Heilongjiang,163001,China)
机构地区 大庆油田总医院
出处 《双足与保健》 2019年第18期167-168,共2页 Biped and Health
关键词 术中护理 髋关节置换术 下肢深静脉血栓 出血情况 护理效果 Intraoperative nursing Hip replacement Deep venous thrombosis of lower extremity Bleeding Nursing effect
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