Abstract：Objective To explore the prognostic role for the patients with deep venous thrombosis (DVT) after hip knee surgery by comprehensive nursing. Methods 84 patients underwent hip knee surgery in the First Affiliated Hospital of Huzhou Teachers College from May 2015 to April 2016 were selected and divided into observation group and control group by random number table, with 42 cases in each group. The patients in control group were given to basic nursing, and the patients in observation group were given to comprehensive nursing. The general clinical indexes of two groups were observed and recorded, including hospitalization time, blood transfusion, constipation, and the number of early postoperative activities. At the same time, the DVT occurrence and satisfaction of two groups were compared. Results The cases of DVT in the observation group were lower than those in the control group (P < 0.05). The cases of postoperative early mobilization in the observation group were higher than those in the control group (P < 0.05). The average hospital stays for the observation group was lower than that in the control group (P < 0.05). The cases of constipation, blood transfusion in the observation group were lower than those in the control group (P < 0.05). The nursing satisfaction of the observation group (92.86%) was better than that of the control group (66.67%), with statistically significant difference (P < 0.05). Conclusion The comprehensive nursing can prevent the patients after hip knee surgery from DVT, also improve prognosis and the nursing satisfaction.
戴敏 李恒. 综合护理对髋膝关节术后下肢深静脉血栓的影响[J]. 中国医药导报, 2017, 14(14): 135-137,168.
DAI Min LI Heng. The effect of comprehensive nursing in the patients with deep venous thrombosis after hip knee surgery. 中国医药导报, 2017, 14(14): 135-137,168.
[1] 古旭云，朱昱冰，赵磊，等.盐酸替罗非班联合低分子肝素治疗急性下肢深静脉血栓的疗效[J].实用医学杂志，2014，30（2）：298-300.
[2] 李春会，李惠玲，邹叶芳，等.健康信念模式教育结合PDCA循环在预防骨科患者下肢深静脉血栓中应用的效果评价[J].中国实用护理杂志，2014，30（20）：30-34.
[3] 刘丹，陈嘉，刘立群，等.医用弹力袜联合充气压力泵预防老年重症下肢深静脉血栓效果的Meta分析[J].中国老年学杂志，2016，36（16）：4035-4037.
[4] Nemeth B，Adrichem RAV，Vlieg AVH，et al. Venous thrombosis risk after cast immobilization of the lower extremity：derivation and validation of a clinical prediction score，l-trip（cast），in three population-based case–control studies [J]. PLoS Med，2015，12（11）：e1001899.
[5] 钟敏兰，向福胜.术中护理对髋关节置换手术患者下肢深静脉血栓形成的影响[J].中国医药导报，2015，12（20）：133-136.
[6] Alhameed F，Aldorzi H M，Shamy A，et al. The Saudi clinical practice guideline for the diagnosis of the first deep venous thrombosis of the lower extremity [J]. Ann Thorac Med，2015，10（1）：3-15.
[7] 程艳秋.预防下肢深静脉血栓护理流程联合利伐沙班在髋关节置换手术患者中的应用效果[J].河北医学，2016， 22（4）：618-620.
[8] 谢锦伟，岳辰，马俊，等.初次髋膝关节置换术后静脉血栓发生情况的观察比较[J].中国骨伤，2016，29（8）：708-712.
[9] Sista AK，Vedantham S，Kaufman JA，et al. Endovascular interventions for acute and chronic lower extremity deep venous disease：state of the art [J]. Radiology，2015，276（1）：31-53.
[10] 黄承.老年腰椎患者术后应用利伐沙班的凝血功能变化及对深静脉血栓的预防[J].中国脊柱脊髓杂志，2016， 26（9）：833-838.
[11] 杨献峰，顾康康，张祯，等.髋膝关节术后顺行性下肢深静脉造影误诊原因分析[J].医疗卫生装备，2014，35（12）：67-69.
[12] 谢锦伟，姚欢，岳辰，等.初次髋、膝关节置换术后纤溶变化[J].中国矫形外科杂志，2016，24（10）：931-936.
[13] 黄小敬，杨胜武，袁健东，等.髋膝关节置换术后假体周围感染的危险因素分析[J].中华医院感染学杂志，2014， 24（6）：1471-1473.
[14] 胡卫国，袁耀.利伐沙班用于髋、膝关节置换术后抗凝效果的临床观察[J].中国基层医药，2016，23（15）：2328-2331.
[15] 邹林汝，谭开彬，高云华，等.静脉瘀滞指数对关节置换术后下肢深静脉血栓风险的评估[J].中国超声医学杂志，2015，31（11）：1032-1034.
[16] 冯阳阳，周煜虎，刘向栋，等.疏血通联合依诺肝素治疗髋关节置换术后下肢深静脉血栓的疗效及其对凝血功能的影响[J].检验医学与临床，2016，13（21）：3037-3038，3042.
[17] 薛静华.人工膝关节置换术后下肢深静脉血栓的护理干预[J].护理实践与研究，2014，11（1）：34-35.
[18] 李春会，李惠玲，邹叶芳，等.中老年髋膝关节置换术后患者下肢深静脉血栓的综合干预策略研究[J].中华护理杂志，2015，50（5）：532-536.
[19] 陈莹.预见性护理在预防人工全髋或全膝关节手术后深静脉血栓中的应用效果分析[J].今日健康，2016，15（4）：220-220.
[20] 吴文强，席永霞，吴瑞敏，等.香豆乙酯与华法林预防髋膝关节手术后下肢深静脉血栓形成的效果比较[J].现代生物医学进展，2016，16（32）：6370-6372，6293.
2017, Vol. 14 
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