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目的评价集束化护理预防脊髓损伤伴截瘫患者下肢深静脉血栓形成(DVT)的效果。方法选取2010年3月至2015年12月该院脊柱外科收治的脊髓损伤伴截瘫患者154例,均接受手术治疗。按入院时间先后分为对照组78例与观察组76例。对照组采用常规护理,观察组在常规护理基础上采用集束化护理,比较两组患者住院期间下肢DVT发生率。结果观察组下肢DVT发生率(14.5%,11/76),明显低于对照组的51.3%(40/78),差异有统计学意义(P<0.01)。结论集束化护理能更有效地预防脊髓损伤伴截瘫患者发生下肢DVT。
Objective To evaluate the effect of cluster nursing on the prevention of deep venous thrombosis (DVT) in patients with spinal cord injury and paraplegia. Methods From March 2010 to December 2015, 154 patients with spinal cord injury and paraplegia who underwent spinal surgery in our hospital were selected for surgery. According to the admission time has divided into 78 cases of control group and observation group of 76 cases. The control group received routine nursing. The observation group received intensive care on the basis of routine nursing. The incidence of lower extremity DVT during the hospitalization was compared between the two groups. Results The incidence of DVT in the lower limbs of the observation group was significantly lower than that of the control group (14.5%, 11/76) (51.3%, 40/78) (P <0.01). Conclusion Cluster nursing can prevent DVT of lower extremities more effectively in patients with spinal cord injury and paraplegia.