骨科下肢骨折手术围手术期深静脉血栓形成的护理对策

朱婷 周智雅

【摘 要】目的：探讨骨科下肢骨折手术围手术期深静脉血栓形成的护理。方法：将我院2020年1月至12月收治的相关疾病患者作为本次研究课题的观察对象，依照本研究纳排标准的要求筛选出其中的48例患者。将上述患者按照随机分组的方式分为一般組（在治疗期间按照传统的模式对患者实施护理）和干预组（在围手术期间着重对下肢深静脉血栓的形成进行护理）。结果：根据研究结果发现相对于一般组中的患者，干预组患者在围手术期间的治疗效果明显更好，患者的感受更佳，血栓的发生率也更低（P<0.05）。结论：本研究发现下肢骨折患者行动受限，需要长时间的卧床休息，但是由于缺乏必要的运动患者很有可能出现深静脉血栓，严重危害健康。在治疗期间根据患者的情况为其提供专业的医疗服务能够有效地降低血栓的形成率，从而提高治疗的整体效果。

【关键词】下肢骨折；骨折手术；深静脉血栓；护理分析

Nursing of deep vein thrombosis in perioperative period of orthopaedic lower limb fracture operation

ZHU Ting， ZHOU Zhiya

Songjiang Central Hospital， Shanghai 201600， China

【Abstract】Objective： To explore the perioperative nursing of deep vein thrombosis of orthopaedic lower limb fracture surgery. Methods： Patients with related diseases treated in our hospital from January 2020 to December 2020 were selected as the observation object of this study， and 48 patients were screened out according to the inclusion and exclusion criteria of this study. The patients were randomly divided into two groups： the general group （nursing patients in the traditional mode during treatment） and the intervention group （nursing patients in the perioperative period with emphasis on the formation of deep venous thrombosis of the lower extremity）. Results： Compared with patients in the general group， the treatment effect of patients in the intervention group was significantly better during perioperative period， patients felt better， and the incidence of thrombosis was lower（P<0.05）. Conclusions： In this study， patients with lower extremity fractures were found to have limited mobility and require prolonged bed rest， but were more likely to develop deep vein thrombosis due to lack of necessary exercise， which is a serious harmful to health. Providing professional medical services to patients according to their conditions during treatment can effectively reduce the rate of thrombosis， thus improving the overall effect of treatment.

【Key？Words】lower limb fracture； Fracture surgery； Deep vein thrombosis； Nursing analysis

包括髌骨骨折在内的下肢骨折往往会严重限制患者的行动能力，并且临床发现这类下肢骨折的发生往往以老年患者为主，对其生活质量造成了严重的影响。而针对这类患者的治疗往往需要通过手术才能促进患者功能的恢复，为其治疗起到积极作用[1]。但是长期以来临床方面针对这类患者的护理缺乏一定的针对性，针对患者的护理仅仅局限于病情，进而可能导致下肢静脉血栓的发生。血栓的出现会严重影响患者围手术期的恢复，如果不加以及时的干预会对患者的患肢造成严重的二次伤害，导致下肢功能丧失甚至危及生命。……