妇科盆腔手术期预防下肢深静脉血栓形成的护理研究.docVIP

精品论文 参考文献 妇科盆腔手术期预防下肢深静脉血栓形成的护理研究 范玲 向江霞（通讯作者） 　　（重庆三峡中心医院 重庆 404000） 　　【摘要】目的：探讨妇科盆腔手术期预防下肢深静脉血栓形成的护理效果。方法：将妇科盆腔手术患者142例随机分为两组，对照组患者71例实施围手术期常规护理，观察组患者71例实施围手术期护理干预。结果：观察组患者下肢深静脉血栓发生率明显低于对照组（P＜0.05）。观察组患者护理满意度（护理态度、治疗效果、并发症预防、预后效果）、术后生活质量评分（社会功能、躯体功能、生理功能、总体健康）明显高于对照组（P＜0.05）。结论：护理干预可降低妇科盆腔手术患者下肢深静脉血栓的发生风险，提高其术后生活质量，易为患者所接受。 　　【关键词】妇科；盆腔手术；下肢深静脉血栓；护理 　　【中图分类号】R473.71 【文献标识码】A 【文章编号】1007-8231（2016）09-0008-02 　　 Nursing research of gynecologic pelvic surgery in prevention of lower deep venous thrombosis 　　 Fan Ling, Xu Hai (correspondent author). Central Hospital of Three Gorges, Chongqing, 404000,China 　　【Abstract】Objective To investigate nursing effect of gynecologic pelvic surgery in prevention of lower deep venous thrombosis. Methods 142 patients with gynecologic pelvic surgery were randomly divided into two groups.71 patients received perioperative routine nursing as control group. 71 patients received perioperative nursing intervention as observation group. Results Incidence of lower deep venous thrombosis in observation group was significantly lower than control group(Plt;0.05). Nursing satisfaction (nursing attitude, treatment effect, prevention of complications, prognosis) and postoperative life quality score (social function, physical function, physiological function, general health) in observation group were significantly higher than control group(Plt;0.05). Conclusion Nursing intervention can reduce risk of lower deep venous thrombosis in patients with gynecologic pelvic surgery, which can improve life quality and easy to be accepted by patients. 　　【Key words】Gynecology; Pelvic surgery; Lower deep venous thrombosis; Nursing 　　妇科盆腔手术在临床上较为常见，但术后发生下肢深静脉血栓的风险较高，其发病率约为11%～29%[1-2]，由于临床表现较为隐匿，发生典型症状者不足1/3，很多患者无典型表现而发生漏诊，未给予及时治疗，可能造成患肢部分功能丧失，严重时血栓脱落可引发肺栓塞而危及患者生命。如何确保手术疗效的同时，降低术后下肢深静脉血栓的风险，是临床医生关注的热点话题。此次研究对71例妇科盆腔手术患者实施了围手术期护理干预，疗效显著，现报道如下。 　　1.临床资料 　　1.1 一般资料 　　本院2013年10月至2015年10月诊治的妇科盆腔手术患者142例，采用随机数字表法分为两组