摘要
目的:探讨综合护理模式预防脊柱骨折伴脊髓损伤患者术后下肢深静脉血栓形成(DVT)的效果。方法:随机选取90例2020年1月—2022年8月在福建医科大学附属第一医院行手术治疗的脊柱骨折伴脊髓损伤患者,以双盲法将其分为对照组、试验组,各45例。对照组给予常规护理,试验组给予综合护理。对两组患者术后DVT发生情况进行对比,同时对两组患者凝血指标、住院时间、下肢肿胀程度和疼痛程度,以及护理满意度进行比较。结果:对照组DVT发生率为22.22%(10/45),试验组为6.67%(3/45),两组比较,差异有统计学意义(P<0.05);相较于试验组,对照组术后1周凝血酶原时间、活化部分凝血活酶时间均更短,纤维蛋白原、D-二聚体水平均更高,差异均有统计学意义(P<0.05);与对照组相比,试验组下肢肿胀程度、疼痛程度均更轻,住院时间更短,差异均有统计学意义(P<0.05);与对照组(80.00%)相比,试验组护理总满意度(95.56%)明显更高,差异有统计学意义(P<0.05)。结论:综合护理模式预防脊柱骨折伴脊髓损伤患者术后下肢DVT的效果显著,可更好地满足患者的护理需求。
Objective:To explore the effect of comprehensive nursing mode on preventing postoperative deep venous thrombosis(DVT)of lower limb in patients with vertebral column fracture and spinal cord injury.Method:A total of 90 patients with vertebral column fracture and spinal cord injury who underwent surgical treatment in the First Affiliated Hospital of Fujian Medical University from January 2020 to August 2022 were randomly selected and divided into control group and experimental group according to double-blind method,with 45 cases in each group.The control group was given routine nursing,and the experimental group was given comprehensive nursing.The occurrence of postoperative DVT was compared between the two groups,and the coagulation indexes,hospital stay,degree of swelling and pain of lower limb and nursing satisfaction were compared between the two groups.Result:The incidence of DVT was 22.22%(10/45)in control group and 6.67%(3/45)in experimental group,the difference between the two groups was statistically significant(P<0.05).Compared with the experimental group,1 week after surgery,the prothrombin time and activated partial thromboplastin time of the control group were shorter,and the levels of fibrinogen and D-dimer of the control group were higher,the differences were statistically significant(P<0.05).Compared with control group,lower extremity swelling degree and pain degree of experimental group were less,and hospital stay of experimental group was shorter,the differences were statistically significant(P<0.05).Compared with the control group(80.00%),the total nursing satisfaction of experimental group(95.56%)was significantly higher,the difference was statistically significant(P<0.05).Conclusion:The comprehensive nursing mode has a remarkable effect on preventing postoperative DVT of lower limbs in patients with vertebral column fracture and spinal cord injury,which can better meet the nursing needs of patients.
作者
林清霞
黄玲
陈泳诗
吴运娟
LIN Qingxia;HUANG Ling;CHEN Yongshi;WU Yunjuan(The First Affiliated Hospital of Fujian Medical University,Fuzhou 350000,China;不详)
出处
《中国医学创新》
CAS
2023年第26期110-114,共5页
Medical Innovation of China
关键词
综合护理模式
脊柱骨折
脊髓损伤
深静脉血栓形成
Comprehensive nursing mode
Vertebral column fracture
Spinal cord injury
Deep venous thrombosis
