妇科肿瘤术后并发下肢深静脉血栓临床观察.docVIP

妇科肿瘤术后并发下肢深静脉血栓临床观察 　　doi：10.3969/j.issn.1007-614x.2014.16.38 　　摘 要 目的：观察妇科肿瘤及下肢深静脉血栓的诊疗经过，探究DVT的发病因素、治疗以及预防办法。方法：研究组给予基础护理和药物辅以术前术后的针对性护理，对照组患者只给予普通药物和基础护理，观察比较两组的住院时间、下肢疼痛、治愈率及肺栓塞发生等情况。结果：研究组治愈49例，治愈率98.0%；对照组治愈40例，治愈率80.0%。结论：肥胖、高龄、手术时间过长等容易造成下肢静脉血栓，积极预防以及有效的护理具有较高的临床疗效，值得临床研究。 　　关键词 下肢深静脉血栓 妇科肿瘤 临床观察 　　Clinical observation of lower extremity deep venous thrombosis after gynecological tumor operation 　　Ni Xiaoge 　　Department of Obstetrics and Gynecology，the Peoples Hospital Affiliated to Jiangsu University 212002 　　Abstract Objective：To observed the diagnosis and treatment of gynecological tumor and deep venous thrombosis of lower extremity.To research the pathogenesis，treatment and prevention measures of DVT.Methods：The study group were given nursing and medicine combined with targeted care before and after operation.The control group only received conventional medicine and nursing care.Observe and compare the hospitalization time，lower extremity pain，cure rate and the incidence of pulmonary embolism of the two groups.Results：In the study group，49 people were cured，and the cure rate was 98%.In the control group，40 people were cured，and the cure rate was 80%.Conclusion：It is easy to cause the venous thrombosis of lower extremity with obesity，older age，long operation time.The clinical curative effect is high if we prevent actively and nursing care effective，so it is worthy of clinical research. 　　Key words Deep venous thrombosis of lower extremity；Gynecological tumor；Clinical observation 　　近年来，医疗技术的提高使得人类寿命得以延长，妇科肿瘤的发生率也不断增加[1]。下肢静脉血栓（DVT）是妇科肿瘤术后的一种常见并发症，是因为术后长期卧床导致血流减慢而引起下肢的静脉栓塞，如不及时治疗，可加重病情造成肺栓塞甚至严重者危及生命。有研究表明，DVT近年发病率不断上升，因此，有效的预防与治疗及术后护理对疾病至关重要，成为当前临床中的热门研究课题[2，3]。本文结合对100例DVT患者的治疗护理观察，来探究DVT的发病原因以及有效的护理办法。 　　资料与方法 　　收治妇科肿瘤导致DVT患者100例，年龄42～70岁，平均（52±2.3|）岁。其中有卵巢肿瘤手术29例，子宫内膜肿瘤手术35例，子宫颈肿瘤手术36例。患者可有色素沉着、皮炎、下肢水肿等临床表现，符合妇科肿瘤引发DVT的诊断标准。现将100例下肢静脉血栓患者随机分成两组，其中研究组有50例，对照组有50例，两组患者在其他方面没有明显差别，均自愿接受研究治疗。 　　方法：对照组患者只给予普通药物及护理。研究组在药物和护理基础上再给予术前术后的加强护理干预。①术前护理