老年髋关节置换围手术期病人DVT的预防及护理.pdfVIP

第22卷 第6期 内蒙古民族大学学报(自然科学版) V0】．22 No．6 2007年 12月 Journal of Inner MongoLia University for Nationalities Dec．2007 老年髋关节置换围手术期病人DVT的预防及护理 陈立侠，马 丽 (内蒙古民族大学附属医院，内蒙古通辽 028000) [摘 要]目的：为更好的防止老年围手术期全髋关节置换病人发生DvT．方法：针对性的进行健康宣教，做到 积极预防密切观察DVT的临床表现，早期的主动、被动功能锻炼．结果：通过对63例老年围手术期病人的预 防观察及护理有2例发生轻微的DVT，经积极有效的治疗康复出院．结论：有效的预防护理措施能降低THR 术后发生DVT． [关键词】全髋关节置换；深静脉血栓；预防；护理 [中图分类号]R473．6 [文献标识码】A [文章编号]1671—0185{2007)06—0689—02 Perioperative Nursing Measures for the Senile Patients with THR to Prevent DVT CHEN Li—xia。MA Li (AffiLiated Hospital，Inner Mongolia University for Nationalities，TongLiao 028000，China) Abstract：Objective：To discuss the nursing measures for preventing perioperative deep vein thrombosis(DVT)in the senile patients with total hip replacement(THR)．Methods：Directive health education WaS carried out first．The nursing staff attentively observed the clinical manifesta— tions of DVT tO prevent its occurrence and the patients carried out the active and paSsive diriga— tions early at the same time．Results：Among 63 cases nursed with these meaSures slight DVT hap— pened tO 2 c_~ses and these cases recovered after treatment．Conclusion：Effective and preventive nursing measures play al1 important role in reducing the incidence of DVT for the senile patients with THR． Key words：THR；DVT；Prevent n；Nursing 下肢深静脉血栓形成(deep vein thrombosis，DVT)是指血液不正常地在深静脉凝结，阻塞静脉腔，导致回流障碍，好发 于下肢…．随着我国进入老龄化社会，国民生括水平的不断提高，对生命质量的要求也随之提高．老年骨折病人接受全髋关 节置换术(THR)越来越多，据Clart等【2】报道全髋关节置换术后下肢深静脉血栓的发生率为32％，而一旦发生DVT又未及 时治疗，轻者造成慢性深静脉功能不全，影响生活和工作，重者导致静脉坏疽、肺栓塞致死，后果严重．内蒙古民族大学附属 医院2005—03N2007—03行全髋关节置换手术63例，发生DVT 2例(3．1％)，现将护理体会报告如下． 1 临床资料 本组63例，男25例，女38例，年龄57～89岁 ，平均年龄68岁，其中股骨头无菌坏死1