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| Rapid rehabilitation nursing on preventing the application of the femur fractures of postoperative deep vein thrombosis |
| WU Lingling1 CHEN Jin1 ZHANG Muchun1 CHEN Fang2 DENG Eryi3 CHEN Yuting1 LI Xiaoyan4 |
1.The Third Department of Bone Surgery, Central People's Hospital of Zhanjiang, Guangdong Province, Zhanjiang 524001, China;
2.Bone Disease Diagnosis and Treatment Center, Central People's Hospital of Zhanjiang, Guangdong Province, Zhanjiang 524001, China;
3.The Second Department of Bone Surgery, Central People's Hospital of Zhanjiang, Guangdong Province, Zhanjiang 524001, China;
4.Operating Room, Central People's Hospital of Zhanjiang, Guangdong Province, Zhanjiang 524001, China |
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Abstract Objective To explore and analyze the application of rapid rehabilitation nursing on preventing the deep vein thrombosis after femoral fracture operation. Methods From May 2014 to May 2016, 90 cases with femoral fracture treated in Central People's Hospital of Zhanjiang were selected. All the patients divided into the control group and observation group according to the random number table, with 45 cases in each group. The control group was given to routine nursing only, the observation group was given to rapid rehabilitation nursing, all the patients were treated for one month. The postoperative deep vein thrombosis rate, length of hospital stay, hospital expenses, postoperative pain score, the nursing satisfaction and functional independence evaluation questionnaire (FIM) scores of two groups were compared. Results The postoperative deep vein thrombosis rate, the hospitalization expense and postoperative pain score in the observation group were lower, the hospitalization time in the observation group was shorter, and the nursing satisfaction of observation group was higher, compared with the control group (P < 0.05). The FIM scores of two groups at 2 weeks, 1, 3 months after surgery were higher than those before surgery, and the increase of above index of observation group was more remarkable than that of the control group at the same time (P < 0.05). Conclusion The rapid rehabilitation nursing can effectively prevent the formation of postoperative deep vein thrombosis after femoral fractures operation, and can shorten the healing time, improve nursing satisfaction, promote the prognosis.
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[1] 郑崇武，毛建水，叶积飞，等.利伐沙班预防髋关节周围骨折术后深静脉血栓形成50例[J].中国药业，2012，21（7）：80-81.
[2] 陈东峰，白波，卢伟杰，等.骨水泥激活兔血小板促进下肢深静脉血栓形成的实验研究[J].中华关节外科杂志：电子版，2013，1（1）：52-53.
[3] 李荃利.老年髋部骨折术后深静脉血栓形成的预防[J].陕西医学杂志，2013，42（6）：323-324.
[4] 刘建，都定元，向小勇.机械预防和药物预防创伤后深静脉血栓形成的临床观察[J].重庆医科大学学报，2012，37（5）：437-438.
[5] 吴智钢，王臻，郭征，等.骨肿瘤患者深静脉血栓形成15例的临床观察[J].临床军医杂志，2011，39（3）：480-482.
[6] 宗行万之助.疼痛的估价-用特殊的视觉模拟评分法做参考（VAS）[J].疼痛学杂志，1994，2（4）：153-154.
[7] 王新，曲镭，戴红.功能独立性评定（FIM）的特性及临床应用[J].中华物理医学杂志，1997，19（4）：239-240.
[8] 王天红，李映桃，程澄，等.围生期下肢静脉血栓栓塞症32例临床特征分析[J].国际医药卫生导报，2014，20（7）：340-341.
[9] 梁群英，梁建萍，何红燕，等.早期护理干预对骨科大手术后下肢深静脉血栓形成的影响[J].国际护理学杂志，2011，30（8）：1163-1164.
[10] 程文俊，王俊文，任义军，等.利伐沙班与低分子量肝素在初次全髋关节置换术后深静脉血栓形成防治中的比较研究[J].中华创伤骨科杂志，2012，14（6）：480-483.
[11] Levitan B，Yuan Z，Turpie AG，et al. Benefit-risk assessment of rivaroxa-ban versus enoxaparin for the prevention of venous thromboembolism after total hip or knee arthroplasty [J]. Vasc Health Risk Manag，2014，10（2）：157-159.
[12] 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.
[13] 黄菊，谢立红，祁方遒，等.护理干预对预防下肢骨折手术后深静脉血栓形成的作用[J].齐鲁护理杂志，2011， 17（3）：1822-1823.
[14] 李冬春，王勇.消栓饮预防人工髋关节置换术后深静脉血栓形成的临床观察[J].中国医疗前沿，2012，7（4）：41-42.
[15] 李军，侯凯，田维华，等.下肢骨折围术期抗凝治疗对下肢深静脉血栓形成的影响[J].中国医药导报，2011，8（20）：456-457.
[16] 沈玉兰，徐梅，耿息风.早期护理对下肢深静脉血检形成的影响[J].中国实用护理杂志，2011，27（3）：1228-1229.
[17] 俞军英，谭颖微.老年股骨颈骨折患者行人工髋关节置换围手术期临床护理路径的研究[J].中国现代医生，2013， 51（20）：109-111.
[18] 陈永香.循证护理预防骨折术后下肢深静脉血栓的作用分析[J].国际医药卫生导报，2014，20（11）：909-910.
[19] 吴满荣，温杏良，董丽娟，等.快速康复外科中西医结合护理预防股骨干骨折术后深静脉血栓形成[J].护理研究，2014，28（12）：4277-4278.
[20] 靳立巾，张玲，马文静，等.下肢创新骨折患者术后深静脉血栓形成的影响因素及护理对策[J].山西医药杂志，2012，41（7）：789-790. |
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