摘要
目的研究术中预防性护理干预对腹腔镜术后下肢深静脉血栓形成的影响。方法选取江门市中心医院在2019年1~12月收治腹腔镜手术治疗的患者共60例为研究对象。按照投硬币法随机分为观察组与对照组,每组各30例。对照组采取常规腹腔镜手术术中护理,观察组于术中应用预防性下肢深静脉血栓护理。对比两组患者术后下肢状态与超声检查结果差异。结果两组患者术前的股静脉管径与股静脉流速无明显差异(P>0.05),术后6h观察组的股静脉管径与股静脉流速均大于对照组,且术后观察组的舒适感评分也高于对照组(P<0.05),但两组患者的总下肢深静脉血栓发生率无明显差异(P>0.05);观察组患者生活质量评分较对照组高,组间存在明显差异(P<0.05);观察组患者对护理模式的评价较高,满意度评分明显优于对照组,组间存在明显差异(P<0.05)。结论术中预防性护理干预对腹腔镜术后下肢深静脉血栓形成具有预防作用,能够改善患者的静脉动力学指标,提升患者术后舒适感。
Objective To study effect of intraoperative preventive nursing intervention on lower extremity deep venous thrombosis after laparoscopic surgery.Methods The paper chose 60 patients treated by laparoscopic surgery in our hospital from January 2019 to December 2019 as research objects,and divided them into observation group and control group randomly according to coin method.Control group was treated with routine intraoperative nursing of laparoscopic surgery,and observation group with intraoperative nursing.Postoperative lower limb status and ultrasound results were compared between two groups.Results There was no significant difference in femoral vein diameter and femoral vein velocity between two groups before operation,(P>0.05),femoral vein diameter and femoral vein velocity of observation group was higher than control group 6 hours after operation,and comfort scores of observation group were higher than control group(P<0.05).However,there was no significant difference in total incidence of lower extremity deep venous thrombosis between two groups(P>0.05);life quality scores of observation group were higher than control group,with significant difference between groups(P<0.05);patients in observation group had higher evaluation on nursing mode,satisfaction degree was significantly better than control group,with significant difference between groups(P<0.05).Conclusion Intraoperative preventive nursing intervention can prevent lower extremity deep venous thrombosis after laparoscopic surgery,improve venous dynamics indexes and enhance postoperative comfort of patients.
作者
陈美霞
徐熙
施燕兰
CHEN Mei-xia;XU Xi;SHI Yanl-an(Anesthesia Operation Center,Jiangmen City Central Hospital,Jiangmen,Guangdong,529000)
出处
《智慧健康》
2021年第33期132-134,共3页
Smart Healthcare
关键词
腹腔镜手术
术中护理
预防性护理
下肢深静脉血栓
Laparoscopic surgery
intraoperative nursing
Preventive nursing
Lower extremity deep venous thrombosis
