To observe the effect of nursing in operating room to reduce deep venous thrombosis of lower limbs
观察手术室术中护理对减少下肢深静脉血栓形成的效果分析

摘要

目的 探析在预防下肢深静脉血栓形成中应用手术室术中护理的临床价值。方法 纳入研究对象经随机数字表法分组，共有80例外科手术治疗患者，纳入时间：2022.1-2022.12，应用常规护理于对照组，观察组接受手术室术中护理，观察指标：下肢静脉血栓形成发生率、护理满意度、凝血指标与血小板参数。结果 观察组下肢静脉血栓形成发生率相比对照组明显更低，护理满意度相比对照组明显更高（P＜0.05）；两组护理后再次比较，观察组凝血指标[凝血酶原时间（PT）、纤维蛋白降解物（FDP）、纤维蛋白原（Fbg）、D-二聚体（D-D）]水平、血小板参数[血小板平均体积（MPV）、血小板体积分布宽度（PDW）、血小板计数（PLT）]均低于对照组（P＜0.05）。结论 实施手术室术中护理能够改善外科手术治疗患者的凝血指标与血小板参数，降低下肢深静脉血栓形成发生率，促进护理满意度的显著提高。

Abstract

Objective: To explore the clinical value of intraoperative nursing in the prevention of deep vein thrombosis of lower extremities.
Methods: A total of 80 patients undergoing surgical treatment were divided by random number table method. The inclusion time was 2022.1-2022.12. The control group received conventional nursing care, and the observation group received intraoperative nursing care in the operating room.
Results: The incidence of venous thrombosis in lower limbs in observation group was significantly lower than that in control group, and nursing satisfaction was significantly higher than that in control group (P < 0.05). The two groups were compared again after care. The levels of coagulation indexes [prothrombin time (PT), fibrin degradant (FDP), fibrinogen (Fbg), D-dimer (D-D)] and platelet parameters [mean platelet volume (MPV), platelet volume distribution width (PDW), platelet count (PLT)] in observation group were lower than those in control group (P < 0.05).
Conclusion  : The implementation of intraoperative nursing in the operating room can improve the coagulation index and platelet parameters of surgical patients, reduce the incidence of lower extremity deep vein thrombosis, and promote the significant improvement of nursing satisfaction.