摘要
目的探讨老年下肢骨折术后下肢深静脉栓塞的相关因素及相应护理对策。方法选取148例老年下肢骨折患者为研究对象,将其随机均分为对照组(74例)和实验组(74例),对照组患者接受常规的骨科手术期护理方法,实验组患者在传统护理的基础上实施针对性的系统护理干预。比较2组患者术后下肢深静脉血栓、下肢肿痛及肺栓塞的发生率。结果老年患者机体生理功能蜕变、合并高血压、糖尿病等病史、烟酒嗜好、骨折部位、下肢深静脉曲张、手术创伤较大等是导致下肢骨折术后深静脉血栓的关键因素。对照组下肢DVT、肿痛的发病率明显低于实验组(P<0.05);对照组有2例患者发生肺栓塞,实验组1例,2组患者肺栓塞的发病率差异无统计学意义(P>0.05)。结论采取针对性的系统护理干预对降低深静脉血栓发病率具有重要意义。
Objective To explore the related factors of lower extremity deep venous embolism after lower limb fracture in elderly patients and the corresponding nursing countermeasure. Methods A total of 148 patients with lower limb fracture patients were randomly divided into control group （74 cases） and experimental group （74 cases）, the control group received routine nursing method, patients in the experimental group implemented the systematic nursing intervention based on traditional nursing intervention. The incidence of venous thrombosis, lower extremity swelling and pulmonary embolism was compared. Results Physiological functional transformation, hypertension, diabetes mellitus, tobacco and alcohol addiction, the fracture site, deep vein of lower limb varicose, and large operation trauma were the key factors leading to deep venous thrombosis after lower limb fracture surgery. The lower limb DVT and pain incidence in the control group was significantly lower than that of the experiment group （P 〈0.05）; Pulmonary embolism occurred in 2 cases in the control group, and 1 cases in the experimental group, the incidence of pulmonary embolism rate of two groups showed no significant difference （ P 〉 0.05）. Conclusion It is of great significance to take corresponding nursing intervention in reducing the incidence of deep venous thrombosis.
出处
《实用临床医药杂志》
CAS
2015年第22期82-84,共3页
Journal of Clinical Medicine in Practice
关键词
老年下肢骨折
深静脉栓塞
相关因素
护理对策
lower limb fracture in the elderly
deep venous thrombosis
related factors
nursing strategies
