首页|基于Caprini量表的DVT风险评估及针对性预防护理在股骨颈骨折手术患者中的应用效果

基于Caprini量表的DVT风险评估及针对性预防护理在股骨颈骨折手术患者中的应用效果

Application effect of DVT risk assessment based on Caprini scale and targeted preventive nursing in patients with femoral neck fracture surgery

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目的 探讨基于Caprini量表的下肢深静脉血栓(DVT)风险评估及针对性预防护理在股骨颈骨折手术患者中的应用效果.方法 选择2020年1月至2022年1月本院收治的110例股骨颈骨折手术患者作为研究对象,通过随机数字表法将其分为参照组和研究组,每组55例.参照组采用Autar量表进行DVT风险评估及预防护理,研究组采用基于Caprini量表的DVT风险评估及针对性预防护理.比较两组的干预效果.结果 干预前,两组的凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)比较,差异无统计学意义(P>0.05);干预后,两组的PT、APTT均缩短,但研究组长于参照组,差异具有统计学意义(P<0.05).术后1 d,两组的DVT发生率比较,差异无统计学意义(P>0.05);术后5、7 d,研究组的DVT发生率低于参照组,差异具有统计学意义(P<0.05).干预前,两组的日常生活能力量表(ADL)、Harris评分比较,差异无统计学意义(P>0.05);随访1个月,两组的ADL、Harris评分均升高,且研究组高于参照组,差异具有统计学意义(P<0.05).结论 基于Caprini量表的DVT风险评估及针对性预防护理可改善股骨颈骨折手术患者的凝血功能,降低术后DVT发生率,提高日常生活能力及髋关节功能.
Objective To explore the application effect of deep venous thrombosis(DVT)risk assessment based on Caprini scale and targeted preventive nursing in patients with femoral neck fracture surgery.Methods A total of 110 patients with femoral neck fracture surgery admitted in our hospital from January 2020 to January 2022 were selected as the research objects.The patients were divided into reference group and study group by random number table method,with 55 cases in each group.The reference group was given the Autar scale for DVT risk assessment and preventive care,and the study group was given DVT risk assessment based on Caprini scale and targeted preventive nursing.The intervention effects of the two groups were compared.Results Before intervention,there were no significant differences in prothrombin time(PT)and activated partial thromboplastin time(APTT)between the two groups(P>0.05);after intervention,the PT and APTT of the two groups shortened,but those in the study group were longer than the reference group,and the differences were statistically significant(P<0.05).At 1 d after operation,there was no significant difference in the incidence of DVT between the two groups(P>0.05);at 5 and 7 d after operation,the incidence of DVT in the study group was lower than that in the reference group,and the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in Activity of Daily Living Scale(ADL)and Harris scores between the two groups(P>0.05);after 1 month of follow-up,the ADL and Harris scores of the two groups increased,those of the study group were higher than the reference group,and the differences were statistically significant(P<0.05).Conclusion DVT risk assessment based on Caprini scale and targeted preventive nursing can ameliorate the coagulation function of patients with femoral neck fracture surgery,reduce the incidence of postoperative DVT,and improve daily living ability and hip joint function.

femoral neck fracturedeep venous thrombosisCaprini scalerisk assessmenttargeted preventive nursing

邓楠、赵琛、沈艳、焦苗、宋铁兵

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西安市中医医院骨科,陕西西安,710021

股骨颈骨折 深静脉血栓 Caprini量表 风险评估 针对性预防护理

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(33)