摘要
目的探讨早期系统化护理干预预防ICU患者下肢深静脉血栓的应用效果。方法选取ICU患者220例为研究对象,随机分为干预组和对照组,各110例。对照组常规护理,干预组采用早期系统化护理干预措施。记录2组患者血液流变学及下肢深静脉血栓发生情况。结果干预后2组患者全血高切黏度、血浆黏度均显著降低(P<0.05或P<0.01),干预组显著低于对照组(P<0.01)。干预组干预1周后及干预2周后下肢深静脉血栓发生率分别为1.82%(2/110)、1.82%(2/110)显著低于对照组分别为14.55%(16/110)、18.18%(20/110)(P<0.01)。结论早期系统化护理干预在预防ICU患者下肢深静脉血栓效果显著,能够有效改善患者血液流变学,降低下肢深静脉血栓的发生率。
ABSTRACT; Objective To investigate the effect of early systematic nursing intervention on prevention of deep venous thrombosis （DVT） of lower limbs in ICU patients. Methods A total of 220 ICU patients were randomly divided into the control group （n = 110） and the intervention group{n - 110）. The control group was given routine nursing care, while the intervention group received early systematic nursing intervention. The differences of hemorheology and the incidence of DVT were compared between the two groups. Results The level of blood viscosity at high shear rates and plasma viscosity were decreased in both two groups after intervention, and was lower in the intervention group than those in the control group （P 〈0.05 or P 〈0.01）. The incidence of DVT at 1 and 2 weeks after treatment in intervention group were 1.82 % （2/110） and 1. 82 % （2/110） respectively, which were lower than 14.5% （16/110） and 18.2% （20/110） in the control group （P 〈0.01）. Conclusion Early systematic nursing intervention shows remarkable effect on prevention of DVT in ICU patients by improving the hemorheology and reducing the risk of DVT of the lower limbs and improve.
出处
《中西医结合护理（中英文）》
2016年第5期90-91,94,共3页
Journal of Clinical Nursing in Practice
关键词
系统化护理干预
ICU
下肢深静脉血栓
血液流变学
systematic nursing intervention
ICU
Deep venous thrombosis of lower limb
hemorheology
