护理干预对颅脑手术后昏迷患者双下肢深静脉血栓形成的影响.docVIP

精品论文 参考文献 护理干预对颅脑手术后昏迷患者双下肢深静脉血栓形成的影响 湖南省娄底市第三人民医院 417500 【摘 要】目的：探讨护理干预对颅脑手术后昏迷患者双下肢深静脉血栓形成的实际影响效果，为临床应用提供科学依据。方法：将我院在2013年9月——2015年3月期间接收的80例颅脑手术后昏迷患者作为研究对象，将其分为对照组和实验组，对对照组患者进行常规护理，对实验组患者在此基础上进行有针对性的护理干预，对两组患者下肢静脉血栓、下肢肿胀、肺栓塞发生率以及腘静脉和股静脉血液流速情况进行分析。结果：实验组患者下肢静脉血栓、下肢肿胀的发生率为2.5％和5.0％，明显低于对照组；且实验组患者的腘静脉和股静脉血液流速分别为（21.2plusmn;2.1）cm/s、（25.8plusmn;2.9）cm/s，也明显高于对照组，具有统计学意义（P＜0.05）。结论：护理干预能够有效的减少颅脑手术后昏迷患者双下肢深静脉血栓的形成，具有十分显著的效果，值得进一步的推广与应用。 【关键词】护理干预；颅脑手术；双下肢深静脉血栓 Abstract：Objective：To investigate the effect of nursing intervention on the deep venous thrombosis in patients with coma after craniocerebral operation，and to provide scientific evidence for clinical application.Methods：in our hospital in September 2013 - March 2015 during reception of 80 cases of brain surgery after coma patients as the research object，divided into experimental group and control group，patients of control group were treated with routine nursing，patients in the experimental group on the basis of were in nursing intervention，of two groups of patients with lower limb venous thrombosis，lower extremity edema，pulmonary embolism occurred rate and popliteal vein and femoral vein blood flow situation were analyzed.Results：the incidence rate of experimental group patients with deep venous thrombosis of lower limb，lower limb swelling was 2.5% and 5.0%，significantly lower than the control group；and the experimental group of patients with popliteal vein and femoral vein blood flow velocity respectively（21.2 + 2.1）cm / s，（25.8 + 2.9 cm / s），significantly higher than the control group，with statistical significance（P lt; 0.05）.Conclusion：nursing intervention can effectively reduce the formation of deep venous thrombosis in patients with coma after brain surgery，which has a very significant effect，which is worthy of further popularization and application. Key words：nursing intervention；craniocerebral operation；deep venous thrombosis of lower extremity 深静脉血栓是一种十分严重的并发症，其临床具体表现为患肢的疼痛与肿胀，且伴有浅静脉扩张的现象，甚