循证护理预防骨科术后下肢深静脉血栓的作用分析

目的分析循证护理在髋关节手术后预防下肢深静脉血栓中的作用。方法将在兴宁中医医院骨科进行髋关节手术治疗的108例患者分为观察组58例与对照组50例，两组均进行常规护理干预，观察组增加循证护理，包括：心理因素干预，提升肢体锻炼依从性、保持良好饮食习惯、药物治疗及中药配合按摩等。结果发生下肢深静脉血栓（deep venous thrombosis，DVT）观察组1例（2．0％），对照组7例（12．1％），差异有统计学意义（P=0．046），观察组与对照组的卧床时间分别为（14．9±2．6）dvs（16．4±2．3）d，住院时间分别为（20．3±3．1）dvs（24．7±3．4）d，两组比较差异有统计学意义（P〈0．05）。结论科学、全面的循证护理可有效减轻下肢深静脉血栓发病率，减少骨科术后患者的卧床时间及住院时间，值得应用。

Analysis on the role of evidence-based care in prevention of orthopedic surgery deep venous thrombosis

Objective To explore the role of evidence-based care in prevention of orthopedic surgery deep venous thrombosis. Methods 108 cases with major orthopedic surgery were divided into the observation group and the control group in our hospital. The control group （n=58） was treated with routine care intervention, the observation group （n=50） was treated with evidence-based care on the basis of control group＇ s nursing intervention, which included psychological interventions, improving adherence of physical exercise, maintaining good diet, drug therapy and traditional Chinese medicine. Results 1 patient with deep venous thrombosis （DVT） in the observation group, 7 cases with DVT in the control group, showing statistical significant difference, P=0.046. Bed time in the observation group and control group was （14.9 ± 2.6） d vs （16.4 ± 2.3） d, hospital stay was （20.3 ± 3.1） d vs （24.7 ± 3.4） d, with statistical significant difference（P 〈 0.05）. Conclusion Evidence-based care can effectively reduce the incidence of DVT, reduce the bed time and hospital stay of postoperative orthopedic by scientific and comprehensive method.