老年骨折患者实施预见性护理干预对深静脉血栓形成的影响分析

目的：探讨预见性护理干预对老年骨折患者深静脉血栓（DVT）及其血流动力学指标的影响。方法：选取2012年1月-2014年1月南昌市第三医院骨科收治的128例老年骨折患者为研究对象，根据随机数字表将患者分为观察组及对照组各64例，对照组给予常规性护理，观察组给予预见性护理干预，对比分析两组患者DVT、术后感染、便秘及压疮情况。两组干预前后采用Bioz.Com数字化无创血流动力学检测仪测定各组ESR、HCT、Fb、np、nbl、nbh等血流动力学指标。结果：观察组DVT、术后感染、便秘、压疮等并发症发生率显著低于对照组（P〈0.05）。观察组干预后ESR、HCT、Fb、np、nbl、nbh等血流动力学指标显著低于对照组，差异有统计学意义（P〈0.05）。结论：预见性护理干预能有效改善老年骨折患者血液黏稠度，促进患者血液循环，有效预防DVT的发生。

Impact of Nursing Care Intervention on Deep-vein Thrombosis in Elderly Patients with Fracture

Objective：To investigate the effects of nursing care intervention on deep vein thrombosis（DVT） and hemodynamic parameters of elderly patients with fractures. Method：From January 2012 to January 2014,128 cases of fractures in elderly patients were selected and divided into observation group and control group according to random number table ,each of 64 cases.The control group received routine care,the observation group received nursing care intervention.DVT,postoperative infection,constipation and pressure sores situation of two groups were analyzed and compared. ESR,HCT,Fb,np,nbl,nbh and other hemodynamic parameters of two groups were measured by using Bioz.Com digitized noninvasive hemodynamic detector before and after the intervention.Result：The DVT,postoperative infection,constipation,pressure sores and other complications of the observation group were significantly lower than those of the control group（P〈0.05）.After intervention ,ESR,HCT,Fb,np,nbl,nbh and other hemodynamic parameters of the observation group were significantly lower than those of the control group,the difference were statistically significant （P〈0.05）.Conclusion：The nursing care intervention can effectively improve blood viscosity in elderly patients with fractures,promote the patient’s blood circulation,which can effectively prevent the occurrence of DVT.