摘要
目的探讨创伤骨折患者中术前下肢深静脉血栓形成的影响因素,提出护理对策。方法收集2008年1—12月因创伤骨折当天入院拟行手术切开复位术的1000例患者的相关资料,采用单因素分析法、多元回归法分析下肢深静脉血栓形成与性别、年龄、骨折部位、合并糖尿病、合并高血压冠心病的关系。结果1000例创伤骨折患者中,术前形成下肢深静脉血栓61例。年龄、合并糖尿病、不同骨折部位为创伤骨折患者术前下肢深静脉血栓形成的影响因素,40岁以上年龄组血栓发生率显著高于40岁以下年龄组,多发骨折、股骨骨折发生率分别为胫腓骨骨折的12.255、3.283倍,合并有糖尿病患者发生率为未合并糖尿病患者的2.062倍。结论针对影响因素分析结果,对高龄创伤后骨折患者加强监测,合并有糖尿病患者术前加强血糖控制,并针对不同骨折部位加强护理可以有效预防下肢深静脉血栓的形成。
Objective To explore the factors influencing preoperative deep venous thrombosis of lower extremity among patients with traumatic fracture, so as to be able to formulate corresponding nursing strategies. Methods Related information about 1 000 cases hospitalized on the day of fracture between Jan. and Dec. 2008 and for whom opening reduction was to be conducted was collected. And then an analysis was made of the relationship between the formation of their deep venous thrombosis of lower extremity and their gender, age, location of the fracture, complicated diabetes, hypertension and coronary disease. Results Of the 1 000 cases, 61 were found to be with the thrombosis before the operation. The influencing factors included age, complicated diabetes and the location of the fracture. The incidence rate of thrombosis among 40-year and above group was markedly higher than that of the under-40-year group; the incidence rate among those with multiple fractures and femur fracture was 12.255 and 3.283 times, respectively, that among those with tibia and fibula fracture, and that among those complicated with diabetes, 2.062 times that of those without. Conclusion Monitoring should be strengthened of great-age patients with fractures, and pre-operation control of blood glucose needs strengthening for those complicated with diabetes. And nursing should be beefed up in light of the locations of the fractures.
出处
《护理学报》
2009年第13期39-41,共3页
Journal of Nursing（China）
关键词
创伤
骨折
下肢深静脉血栓
影响因素
护理
traumatic
fracture
deep venous thrombosis of lower extremity
influencing factors
nursing
