摘要
目的探讨四肢骨折患者下肢深静脉血栓(DVT)形成的危险因素及其护理对策。方法采取回顾性调查法收集我院2016年10月至2019年10月收治的65例四肢骨折患者为研究对象,采用多因素logistic回归分析四肢骨折患者形成DVT的危险因素。结果彩色多普勒超声检查显示,65例四肢骨折患者中DVT形成32例。多因素logistic回归分析显示,年龄(OR=6.110)、骨折部位(OR=4.221)、不良引流操作(OR=6.579)、术前制动或长期卧床时间(OR=5.652)、凝血指标(OR=5.212)、脱水药物应用(OR=4.702)是导致四肢骨折患者形成DVT的独立危险因素(P<0.05)。结论四肢骨折患者DVT形成影响因素诸多,其发生率与患者年龄、骨折部位、不良引流操作、术前制动或长期卧床时间、凝血指标以及脱水药物应用均关联紧密,临床应引起充分重视,采取相关预防护理对策降低DVT发生率。
Objective To explore the risk factors of deep venous thrombosis(DVT)of lower limb in patients with limb fractures and its nursing strategy.Methods To collect 65 cases of patients with limb fractures admitted to our hospital from October 2016 to October 2019 was set as the study objects through using a retrospective investigation method,and multivariate logistic regression was used to analyze the risk factors of DVT in patients with limb fractures.Results Color Doppler ultrasonography showed that 32 cases of patients with limb fractures developed DVT in 65cases of patients.Multivariate logistic regression analysis showed that the age(OR=6.110),fracture position(OR=4.221),poor drainage operation(OR=6.579),preoperative immobilization or long-term bedtime(OR=5.652),coagulation indicators(OR=5.212),and application of dehydration drug(OR=4.702)were the independent risk factors for DVT in patients with limb fractures(P<0.05).Conclusion There were many factors influencing the formation of DVT in patients with limb fractures,and its incidence was closely related to the patient's age,fracture position,poor drainage operation,preoperative immobilization or long-term bedtime,blood coagulation indicators and the application of dehydration drugs.Full attention should be paid to the clinic,and relevant preventive care measures should be taken to reduce the incidence of DVT.
作者
林锦芝
黄俐敏
严灿英
LIN Jin-zhi;HUANG Li-min;YAN Can-ying
出处
《护理实践与研究》
2020年第19期34-36,共3页
Nursing Practice and Research
关键词
四肢骨折患者
下肢深静脉血栓
危险因素
护理对策
Patients with limb fractures
Deep venous thrombosis of lower limb
Risk factors
Nursing countermeasures
