预防性护理对高血压脑出血患者术后下肢深静脉血栓形成的影响.doc

预防性护理对高血压脑出血患者术后下肢深静脉血栓形成的影响 邓燕婷刘燕兰赖秋玲 广东医学院附属三水医院神经外科，广东佛山528100 摘要目的探讨预防性护理对高血压脑出血患者术后下肢深静脉血栓形成的影响。方法将该院xx年9月xx年8月收治的高血压脑出血患者60例纳入该研究，根据随机原则分组。所有患者术后均给予降压、吸氧、脱水、抗感染、营养神经等常规综合治疗。对照组患者治疗期间接受常规护理，实验组患者治疗期间加强预防性护理。对比两组患者在下肢深静脉血栓发生率、死亡率、护患满意率等方面的差异性。结果对照组患者术后发生下肢深静脉血栓8例，死亡6例；患者或其家属对护理质量非常满意9例，比较满意15例，不满意6例。实验组患者术后发生下肢深静脉血栓1例，无患者死亡，患者或其家属对护理质量非常满意12例，比较满意18例。与对照组对比，实验组患者下肢深静脉血栓发生率较低，死亡率较低，护患满意率较高，组间差异有统计学意义（P0.05）。结论在高血压脑出血患者手术治疗期间加强预防性护理，有助于降低术后下肢深静脉血栓形成的风险，减少死亡率，并能增进护患关系。 关键词预防性护理；高血压；脑出血；下肢深静脉血栓 R473A1674-074（4）09（b）172-03 EffectofPreventiveNursingonDeepVenousThrombosisofLowerExtremityinPatientsafterHypertensiveCerebralHemorrhageOperation DENGYantingLIUYanlanLAIQiuling DepartmentofNeurosurgery,GuangdongMedicalCollegeSanshuiHospital,Foshan,GuangdongProvince,528100,China AbstractObjectiveToinvestigatetheeffectofpreventivenursingondeepvenousthrombosisoflowerextremityinpatientsafterhypertensivecerebralhemorrhageoperation.Methods60caseswithhypertensivecerebralhemorrhageadmittedinourhospitalfromSeptemberxxtoAugustxxwereincludedinthisstudyandgroupedrandomly.Allthepatientsweregiventheconventionalprehensivetreatment,suchasantihypertensivetreatment,oxygeninhalation,dehydration,anti-infection,nervenutritionandsoon.Duringthetreatment,thecontrolgroupwastreatedwiththeconventionalnursing,whiletheexperimentalgroupwastreatedwiththestrengthenedpreventivenursing.Theincidenceofdeepvenousthrombosisoflowerextremity,mortalityrate,nurse-patientsatisfactionrateofthetwogroupswerepared.ResultsInthecontrolgroup,therewere8caseswithpostoperativedeepvenousthrombosisoflowerextremity,6casesdied;9patientsorfamilymembersofthepatientswereverysatisfiedwiththenursingquality,15casesweresatisfiedand6casesweredissatisfiedwiththenursingquality.Intheexperimentalgroup,therewas1casewithpostoperativedeepvenousthrombosisoflowerextremity,andnopatientdied,12patientsorfamilymembersofthepatientswereverysatisfiedand18casesweresatisfiedwiththenursingquality.Comparedwiththecontrolgroup,theincidenceofdeepvenousthrombosisoflowerextremityandthemortalitywerelower,a