护理对预防脑梗死患者下肢深静脉血栓形成的效果观察

目的 观察护理预防脑梗死患者下肢深静脉血栓(DVT)形成的效果.方法 选取2010年7月到2015年1月我院老年内科就诊的120例脑梗死患者做为研究对象,根据护理方式的不同,将其分为常规组,干预组(各60例),测量并分析各组的大、小腿周经差、全血粘稠度、血小板计数、护理期间的DVT发生率等.结果 二组患者经不同方案护理第7d后干预组DVT发生率(3.33％)明显较常规组低(11.67％)(P＜0.05),护理第14 d后干预组DVT发生率(3.33％)明显较常规组低(16.67％)(P＜0.05).二组患者经相应方案护理后,干预组和常规组与护理前大、小腿周径血流变化及凝血指标比较均明显降低(P＜0.05),且干预组各指标降低较常规组明显(P＜0.05),两组患者护理前各指标比较无明显差异(P＞0.05).结论 早期的对脑梗死患者进行护理干预,可降低DVT的发生率,提高脑梗死患者的生活质量.

Effect of Nursing Intervention on Preventing deep Venous Thrombosis of Lower Extremities in Patients with Cerebral Infarction

Objective To observe the effect of nursing intervention on the prevention of deep vein thrombosis(DVT) in patients with cerebral infarction.Methods A total of 120 patients with cerebral infarction treated in our hospital from July 2010 to January 2015 were enrolled in the study.According to the different nursing methods,the patients were divided into the conventional group and the intervention group(60 cases each)And the difference of the peritoneum of lower extremity,whole blood viscosity,platelet count and DVT during nursing were analyzed.Results The incidence of DVT (3.33％)was significantly lower in the intervention group(11.67％) (P ＜ 0.05) and the incidence of DVT(3.33％) in the intervention group was significantly higher than that in the control group (16.67％) compared with the conventional group (P ＜ 0.05).Compared with routine group,the changes of blood flow and blood coagulation index in the intervention group and routine group were significantly lower than those in the control group(P ＜ 0.05).The indexes of the intervention group were significantly lower than those of the routine group(P ＜ 0.05).There was no significant difference between the two groups before treatment (P ＞ 0.05).Conclusion Nursing intervention in patients with cerebral infarction can reduce the incidence of DVT and improve the quality of life of patients with cerebral infarction.