妇科盆腔手术后下肢深静脉血栓形成的预防性护理观察.docVIP

妇科盆腔手术后下肢深静脉血栓形成的预防性护理观察 　　【摘要】 目的：观察并研究将预防性护理在妇科盆腔手术后下肢深静脉血栓中的预防效果。方法：选取2013年4月-2014年3月于本院进行妇科盆腔手术的45例患者作为对照组，予以常规手术护理；另选取2014年4月-2015年3月来院进行妇科盆腔手术的45例患者为观察组，采取预防性护理措施，对比两组的术后下肢深静脉血栓发生率、护理满意度等指标。结果：观察组的护理满意度为95.56%，高于对照组，且下肢深静脉血栓发生率、止血药物使用率分别为2.22%、6.66%，均低于较对照组，两组比较差异均有统计学意义（ 字2=6.29、6.43、5.17，P中国论文网 /6/view-7245289.htm 　　【关键词】 妇科盆腔手术； 下肢深静脉血栓； 预防性护理 　　Preventive Nursing Observation of Deep Vein Thrombosis of Lower Limbs after Gynaecology Pelvic Surgery/DONG Yu-ying.//Medical Innovation of China，2015，12（36）：097-099 　　【Abstract】 Objective：To investigate preventive nursing observation of deep vein thrombosis of lower limbs after gynaecology pelvic surgery. Method： 45 patients who were given gynecological pelvic surgery in our hospital from April 2013 to March 2014 were selected as control group， they were taken conventional surgical nursing. 45 patients who were given gynecological pelvic surgery in our hospital from April 2014 to March 2015 were selected as the observation group， they were taken preventive nursing measures. The postoperative incidence of lower extremity deep vein thrombosis， nursing satisfaction of the two groups were compared. Result：The nursing satisfaction of the observation group was 95.56%， was higher than the control group， and the incidence of lower extremity deep vein thrombosis， hemostatic drug utilization rate respectively were 2.22% and 6.66%， were lower than the control group， the differences of the two groups were statistically significant （ 字2= 6.29， 6.43， 5.17， P 　　1 资料与方法 　　1.1 一般资料 选取2013年4月-2014年3月于本院进行妇科盆腔手术的45例患者作为对照组，予以常规手术护理；另选取2014年4月-2015年3月来院进行妇科盆腔手术的45例患者为观察组，采取预防性护理措施。所有患者均符合妇科盆腔手术的手术指征，无手术禁忌证者[5-6]。观察组患者的年龄25～54岁，平均（37.58±4.23）岁；手术病因：卵巢囊肿18例，子宫肌瘤15例，异位妊娠12例。对照组患者的年龄27～56岁，平均（38.34±5.18）岁；手术病因：卵巢囊肿16例，子宫肌瘤17例，异位妊娠12例。两组患者的性别、手术原因等一般资料比较差异均无统计学意义（P0.05），具有可比性。本次入选患者均对本研究内容充分知情，且均自愿签署知情同意书后入组，符合伦理学要求。 　　1.2 方法 　　1.2.1 对照组 对照组患者予以常规护理，即遵医嘱在手术结束后对患者予以后续性的药物治疗，同时加强对患者的病情观察，发生异常后应及时告知主治医师并查明原因，同时注意采取正确的应急措施，待医生到来后做好协助工作，确