Effect of risk grading nursing on deep vein thrombosis after lower limb varicose vein surgery
风险分级护理对下肢静脉曲张术后深静脉血栓形成的影响

摘要

目的 探讨下肢静脉曲张术后开展风险分级护理对深静脉血栓形成的影响。方法 随机于我院2023年1月-2024年1月抽取80例下肢静脉曲张术后患者为调查对象，依照双色球法分入两组，即甲组（n=40，实施常规护理）和乙组（n=40，应用风险分级护理）。比较两组护理结局。结果 甲组护理后的深静脉血栓形成率17.50%，明显大于乙组5.00%，差异具有统计学意义（P<0.05）。甲组护理后的血流峰速度（43.70±4.58）cm/s、血流速度（28.89±3.67）cm/s，明显小于乙组（54.26±5.13）cm/s、（35.13±4.01）cm/s，差异具有统计学意义（P<0.05）。结论 下肢静脉曲张术后患者接受风险分级护理，能依据患者个体状况，给予针对性干预，有效预防深静脉血栓形成。也改善了血流动力学指标，减少血液瘀滞，临床推广价值较高。

Abstract

Objective To investigate the effect of risk grading nursing on deep vein thrombosis after lower limb varicose vein surgery.
Methods A total of 80 patients with postoperative varicose veins of lower extremity were randomly selected from January 2023 to January 2024 in our hospital and divided into two groups according to bicolor sphere method, namely group A (n=40, routine nursing) and group B (n=40, risk-graded nursing). The nursing outcomes of the two groups were compared.
Results The rate of deep vein thrombosis in group A after nursing was 17.50%, which was significantly higher than that in group B, 5.00%, with statistical significance (P<0.05). The peak blood flow velocity (43.70±4.58)cm/s and blood flow velocity (28.89±3.67)cm/s in group A after nursing were significantly lower than those in group B (54.26±5.13)cm/s and (35.13±4.01)cm/s, and the differences were statistically significant (P<0.05).
Conclusion   Patients with lower extremity varicose vein surgery can receive risk-graded nursing, which can give targeted intervention according to the individual condition of patients, and effectively prevent deep vein thrombosis. It also improved hemodynamic index, reduced blood stasis, and had high clinical value.