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早期使用ASPCP对高龄患者髋关节置换术后深静脉血栓的预防及护理研究 被引量:4

Prevention and nursing research of early use of ASPCP in elderly patients with deep vein thrombosis after total arthroplasty hip replacement
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摘要 目的:探讨早期使用全自动周期性序贯加压充气泵对预防高龄患者人工全髋关节置换术后深静脉血栓形成的护理效果。方法:将符合纳入标准的拟行人工全髋关节置换术的80例高龄患者,随机分为两组:A组(n=40)早期使用周期性的加压充气泵,对下肢深静脉血栓(DVT)进行护理干预;B组(n=40)采用常规护理。术后第7、14天两组患者均行侧下肢静脉多普勒超声检查,了解有无下肢深静脉血栓发生。结果:A组无DVT发生,B组2例患者出现DVT,发生率为5%。术前两组冷感评分无明显差别(P>0.05),术后第7、14天,A组冷感评分均明显低于B组(P<0.01)。结论:使用全自动周期性序贯加压充气泵护理干预能明显降低高龄患者人工全髋关节置换术后下肢深静脉血栓(DVT)的发生率。DVT护理干预能降低人工关节术后深静脉血栓发生。 Objective. To investigate the effect of the automatic sequential pneumatic compression pumps (ASPCP) on the deep vein thrombosis (DVT) of aged patients after total hip replacement arthroplasty (THA). Methods.A total of 80 old patients after THA who in accordance with the inclusive criteria were divided randomly into 2 groups .Group A (n= 40) were nursed with ASPCP; Group B (n = 40) received conventional nursing. Patients received Doppler ultrasound at 7 days after operation. Results. There was no DVT in group A,but 2 patients in group B developed DVT, the rate was 5%. Cold feeling scores was no difference between Group A and Group B pre--operation(P〉0.05), but significantly lower in Goup A than that in Group B at the 7,14 days post--operation(P〈0.01). Conclusion. ASPCP contribute to the preven- tion of DVT, which can significantly reduce the incidence rate of DVT in aged patients after THA.
出处 《西北国防医学杂志》 CAS 2014年第3期274-276,共3页 Medical Journal of National Defending Forces in Northwest China
关键词 护理学 全髋关节置换 深静脉血栓 Nursing Total tip replacement arthroplasty Deep vein thrombosis
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