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目的探讨在下肢深静脉血栓形成血管腔内置管治疗中护理干预的应用。方法选择2015年2月至2016年2月在吉林大学第四医院进行治疗的60例下肢深静脉血栓形成患者作为研究对象,采用分层随机分组法将患者分为对照组和观察组,每组各30例,其中对照组采用常规护理模式,观察组采用整体的护理干预模式。术后对2组患者的视觉模拟评分法(visual analogue scale,VAS)评分、血肿发生率、患侧肢体肿胀发生率、卧床时间和住院时间等进行对比分析。结果术后1、3、5 d,观察组患者的VAS评分明显低于对照组(P<0.05)。观察组患者术后血肿发生率为10%,患侧肢体肿胀发生率为3.33%,明显低于对照组46.67%和23.33%,2组比较差异明显(P<0.05)。观察组平均住院时间、平均卧床时间和平均住院费用均少于对照组,2组比较差异明显(P<0.05)。结论在下肢深静脉血栓形成血管腔内置管治疗中,整体的护理干预可以有效地减少患者的VAS评分、患侧肢体血肿发生率、卧床时间和住院时间等,值得临床推广应用。
Objective To investigate the application of nursing intervention in the treatment of deep venous thrombosis in the lower extremity. Methods Sixty patients with deep venous thrombosis of lower extremity treated in the Fourth Hospital of Jilin University from February 2015 to February 2016 were selected as study subjects. The patients were divided into control group and observation group by stratified randomized grouping method. Each group 30 cases in each group, of which the control group used routine nursing mode, the observation group used the overall nursing intervention mode. Visual analogue scale (VAS) score, incidence of hematoma, incidence of ipsilateral limb swelling, bed rest and hospital stay were compared between the two groups after operation. Results The VAS score of the observation group was significantly lower than that of the control group on the 1st, 3rd, 5th day after operation (P <0.05). The incidence of postoperative hematoma in observation group was 10%, and the incidence of swelling of affected limb was 3.33%, which was significantly lower than 46.67% and 23.33% in control group (P <0.05). The average length of hospital stay, average bed time and average hospitalization costs in the observation group were less than those in the control group, with significant difference between the two groups (P <0.05). Conclusion In the treatment of deep venous thrombosis of lower extremity, the overall nursing intervention can effectively reduce the VAS score of patients, the incidence of ipsilateral limb hematoma, bed time and hospital stay, worthy of clinical application.