摘要
目的 探讨基于Caprini风险评估的信息化平台在髋关节骨折患者中的应用效果及其对术后深静脉血栓的影响.方法 选择2020年1月至2023年1月南昌大学第二附属医院收治的120例髋关节骨折患者作为研究对象,使用随机数字表法将其分为两组,对照组患者(60例)采取常规护理措施,观察组患者(60例)进行Caprini风险评估分级后基于信息化平台与自身情况进行对应的护理措施,收集两组患者干预前1 d至干预后4周的相关数据,比较两组患者Harris髋关节功能评分(HHS)、Barthel指数(BI)、白细胞计数(WBC)、降钙素原(PCT)、C-反应蛋白(CRP)、血小板(PLT)、活化部分凝血活酶时间(APTT)、凝血酶时间(TT)、D-二聚体(D-D)、患者满意度评分、深静脉血栓发生率及深静脉血栓发生患者血栓最大宽度.结果 干预后,观察组患者满意度、术后恢复指标(HHS、BI)高于对照组,差异有统计学意义(P＜0.05);观察组炎症指标(WBC、PCT、CRP)、深静脉血栓发生率、深静脉血栓发生患者血栓最大宽度低于对照组,差异有统计学意义(P＜0.05);干预后,观察组患者PLT、APTT、D-D高于对照组,TT低于对照组,差异有统计学意义(P＜0.05).结论 基于Caprini风险评估下的信息化平台构建的护理措施对髋关节骨折术后患者的术后恢复及深静脉血栓的预防均具较好效果.
Abstract
Objective To explore the application effect of information platform based on Caprini risk assessment in patients with hip fracture and its influence on postoperative deep vein thrombosis.Methods A total of 120 patients with hip fracture admitted to the Second Affiliated Hospital of Nanchang University from January 2020 to January 2023 were selected as the study objects and they were divided into two groups using random number table method.Patients in the control group(60 cases)were given routine nursing measures,while patients in the observation group(60 cases)were given nursing measures based on the information platform and their own conditions after Caprini risk assessment classification.Relevant data of pa-tients in both groups were collected from 1 day before intervention to 4 weeks after intervention.The Harris hip score(HHS),Barthel index(BI),white blood cell(WBC),procalcitonin(PCT),C-reactive protein(CRP),platelet(PLT),activated partial thromboplastin time(APTT),thrombin time(TT),D-dimer(D-D),patient satisfaction score,incidence of deep vein throm-bosis and maximum width of thrombus in patients with deep vein thrombosis were compared between the two groups.Re-sults After intervention,the satisfaction and postoperative recovery index(HHS,BI)of patients in observation group were higher than those in control group,the differences were statistically significant(P＜0.05).The inflammation index(WBC,PCT,CRP),the incidence of deep vein thrombosis,and the maximum width of thrombus in patients with deep vein thrombo-sis in observation group were lower than those in control group,with statistical significances(P＜0.05).After intervention,PLT,APTT,D-D in observation group were higher than those in control group,and TT was lower than those in control group,with statistical significances(P＜0.05).Conclusion The nursing measures constructed by the information platform based on Caprini risk assessment have good effects on the postoperative recovery of patients with hip fracture and the pre-vention of deep vein thrombosis.
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