[1]高锦霞,曹爱春.骨科手术后并发下肢深静脉血栓的预防及护理[J].西部中医药,2013,26(02):102-104.
　GAO Jinxia,CAO Aichun.Nursing and Prevention of Deep Vein Thrombosis of Lower Extremities after Bone Surgery[J].Western Journal of Traditional Chinese Medicine,2013,26(02):102-104.
点击复制

骨科手术后并发下肢深静脉血栓的预防及护理
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
26
期数:
2013年02期
页码:
102-104
栏目:
出版日期:
2013-02-15

文章信息/Info

Title:
Nursing and Prevention of Deep Vein Thrombosis of Lower Extremities after Bone Surgery
文章编号:
1004-6852(2013)02-0102-03
作者:
高锦霞，曹爱春
定西市人民医院骨科，甘肃 定西 743000
Author(s):
GAO Jinxia, CAO Aichun
Department of Orthopedics in Dingxi Municipality People's Hospital, Dingxi 743000, China
关键词:
深静脉血栓; 骨科手术; 预防; 护理
Keywords:
deep vein thrombosis;  orthopedic surgery;  prevention;  nursing
分类号:
R473.6
文献标志码:
B
摘要:
目的：探讨预防和护理措施对骨科手术后深静脉血栓(DVT)发生、发展的影响。方法：回顾性总结骨科手术后深静脉血栓2987例患者的预防观察和护理措施，主要包括对患者的术前评估、术后饮食、心理、体位、功能锻炼及发生DVT的病情观察和临床护理。结果：2987例骨科手术患者中2960例未发生DVT，27例不同程度并发DVT，其中21例治愈出院，3例好转出院，2例转科治疗，1例因并发急性肺栓塞死亡。结论：科学合理的预防和护理可有效防治DVT的发生，促进机体康复，提高生活质量。
Abstract:
Objective: To verify the effects of prevention and nursing measures on the onset and development of deep vein thrombosis (DVT) of lower extremities after bone surgery. Method: The prevention and nursing measures given to 2987 patients were retrospectively summarized, which mainly contained preoperative assessment,postoperative diet, psychology, position and functional exercise as well as the observation and clinical observation on the onset of DVT. Result: Among 2 987 patients, 2 960 cases did not manifest DVT, 27 cases were complicated with DVT in different degrees and 21 cases were recovered and discharged, three cases were effective, two cases were transferred to another department, one case died due to acute pulmonary embolism. Conclusion: Scientific and reasonable prevention and nursing can effectively prevent the onset of DVT, promote the rehabilitation of body and improve life quality.

参考文献/References:

［1］ 曹维新，李乐之.外科护理学［M］.4 版.北京：人民卫生出版社，2009：354-357. ［2］ 阳世伟，殷磊，李健.饮食教育预防骨科术后病人便秘的研究［J］.中华护理杂志，2004，39(1)：12-14. ［3］ 喻英.骨科手术后深静脉血栓形成的危险因素及护理干预［J］.实用骨科杂志，2008，14(12)：764-765. ［4］ 黄红健.下肢深静脉栓塞的预防和护理［J］.护理学杂志，2002，17(5)：339-401. ［5］ 王秀芳，于文秀.下肢骨折术后并发深静脉血栓形成患者的观察及护理［J］.实用医技杂志，2007，14(7)：924-925. ［6］ 谈晓芳，徐群，何斐英，等.下肢骨折术后并发急性深静脉血栓形成的观察与护理［J］.中华护理杂志，2003，38(8)：612-618. ［7］ 马佩芬.泌尿外科术后并发下肢深静脉血栓的预防与护理［J］.甘肃护理，2010，2(1)：21-23.

相似文献/References:

[1]李勇,李振宇,唐上德,等.穴位艾灸对老年髋部骨折术后凝血指标的影响[J].西部中医药,2012,25(11):97.
　LI Yong,LI Zhen-yu,TANG Shang-de,et al.Effects of Acupoints Moxa-moxibustion on Blood Coagulation Indexes of Senile Patients with Hip Fracture Surgery[J].Western Journal of Traditional Chinese Medicine,2012,25(02):97.
[2]徐凡翔,徐丽婷△,孙爱军,等.丹参制剂联合低分子肝素预防骨科术后下肢深静脉血栓Meta分析[J].西部中医药,2015,28(03):79.
[3]侯小维.环节质量化规范管理在控制骨外科手术感染中的应用[J].西部中医药,2015,28(06):62.[doi:2015/6/16 0:00:00]
[4]冯润,唐翠霞.骨科手术患者睡眠障碍的产生及防治对策[J].西部中医药,2011,24(11):24.
[5]史玉琴,潘玮华,郭爱玲.68例妇科恶性肿瘤术后下肢深静脉血栓形成的中西医护理效果观察[J].西部中医药,2012,25(08):103.
　SHI Yu-qin,PAN Wei-hua,GUO Ai-ling.Function of Integrated Traditional Chinese and Western Medicine Nursing for 68 Cases of Deep Vein Thrombosis after Surgery of Gynecological Malignant Tumor[J].Western Journal of Traditional Chinese Medicine,2012,25(02):103.
[6]潘炜.益气活血方预防骨科手术后深静脉血栓43例[J].西部中医药,2014,27(02):100.
　PAN Wei.Qi-invigorating Blood-activating Method in the Prevention of 43 Patients with Deep Vein Thrombosis after Orthopedic Surgery[J].Western Journal of Traditional Chinese Medicine,2014,27(02):100.
[7]石瑞芳,王国玉,王想福.中医护理干预预防髋关节置换术后并发下肢深静脉血栓的临床观察[J].西部中医药,2016,29(04):121.
　SHI Ruifang,WANG Guoyu,WANG Xiangfu.Clinical Observation on TCM Nursing Intervention in Preventing Deep Venous Thrombosis of Lower Limbs of the Patients after Total Hip Replacement[J].Western Journal of Traditional Chinese Medicine,2016,29(02):121.
[8]侯怀晶,张凌云,薛建军△,等.围术期穴位电刺激联合不同术后镇痛预防TKA后DVT形成的临床随机对照研究[J].西部中医药,2018,31(02):9.
　HOU Huaijing,ZHANG Lingyun,XUE Jianjun,et al.Clinical Randomized Controlled Study of TEAS during Perioperative Period Combined with Different Postoperative Analgesia Methods in Preventing the Formation of DVT after TKA[J].Western Journal of Traditional Chinese Medicine,2018,31(02):9.
[9]郑雪琴,曾迎迎△.围术期精神状态评估在骨科老年患者术后精神障碍预防护理中的效果分析[J].西部中医药,2018,31(04):112.
　ZHENG Xueqin,ZENG Yingying.Analysis of the Effects of Perioperative Mental State Assessement on the Prevention and Care for Senile Patients with Postoperative Mental Disorder in Orthopedics[J].Western Journal of Traditional Chinese Medicine,2018,31(02):112.
[10]张凌云,张国欣,王东红,等.围术期穴位电刺激用于预防髋关节置换术后深静脉血栓形成的研究[J].西部中医药,2019,32(08):104.
　ZHANG Lingyun,ZHANG Guoxin,WANG Donghong,et al.A Study on Perioperative TEAS in the Prevention of Deep Venous Thrombosis after Total Hip Replacement[J].Western Journal of Traditional Chinese Medicine,2019,32(02):104.
[11]周玮.补阳还五汤治疗骨科术后深静脉血栓 63 例[J].西部中医药,2014,27(08):77.

备注/Memo

备注/Memo:
收稿日期：2012-09-20 作者简介：高锦霞(1960—)，女，主管护师。研究方向：骨科疾病的护理。
更新日期/Last Update: 2013-02-15