摘要
目的 分析精细化护理干预策略应用于下肢动脉闭塞术后腹股沟出血预防中的临床效果。方法 随机抽取2024年1月至2025年12月期间在我院接受下肢动脉闭塞术治疗患者68例，通过随机数字表法分成观察组34例和对照组34例。给予对照组临床常规护理，给予观察组患者精细化护理干预策略，将两组护理效果进行对比分析。结果 护理后，观察组患者的遵医行为和焦虑情绪改善效果均优于对照组，术后腹股沟出血发生率明显低于对照组，最终获得的护理满意度以及生活质量评分均高于对照组（P<0.05）。结论 对下肢动脉闭塞术患者及时开展精细化护理干预策略，能够有效提高临床护理质量和患者的遵医行为，改善患者的负性情绪，从而减少术后腹股沟出血发生，促进患者身体恢复，提高患者生活质量。
关键词： 精细化护理干预策略；下肢动脉闭塞术；腹股沟出血；效果分析
Abstract
Objective To analyze the clinical effect of the refined nursing intervention strategy applied in the prevention of inguinal bleeding after lower extremity arterial occlusion surgery. Methods A total of 68 patients who underwent lower extremity arterial occlusion surgery in our hospital from January 2024 to December 2025 were randomly selected. They were divided into the observation group (34 cases) and the control group (34 cases) by random number table method. The control group received routine clinical nursing, while the observation group was given refined nursing intervention strategy. The nursing effects of the two groups were compared and analyzed. Results After nursing, the improvement effects of the patients’ compliance with medical advice and anxiety emotions in the observation group were better than those in the control group. The incidence of inguinal bleeding after surgery in the observation group was significantly lower than that in the control group. The final nursing satisfaction and quality of life scores obtained in the observation group were higher than those in the control group (P < 0.05). Conclusion Timely implementation of the refined nursing intervention strategy for patients with lower extremity arterial occlusion surgery can effectively improve the clinical nursing quality and patients’ compliance with medical advice, alleviate negative emotions of patients, thereby reducing the incidence of inguinal bleeding after surgery, promoting the recovery of patients’ bodies, and improving the quality of life of patients.
Key words： Refined nursing intervention strategy; Lower extremity arterial occlusion surgery; Inguinal bleeding; Effect analysis
参考文献 References
[1] 桂婷.综合康复护理在下肢动脉闭塞症介入治疗术患者中的应用效果[J].现代养生,2025,25(19):1490-1492.
[2] 周侠,马健,吴春艳,等.全面康复护理对下肢动脉闭塞症介入治疗术后康复的影响[J].中国实用医药,2021,16(3):183-185.
[3] 何洁.探讨无缝护理模式在糖尿病下肢动脉闭塞症病人介入手术中的应用效果[J].现代护理医学杂志,2025,4(10): 10-12.
[4] 彭饶,廖涛,喻杉,等.1例下肢动脉闭塞症截趾术后难愈性溃疡伤口的多学科协作护理体会[J].当代护士（下旬刊）, 2021,28(8):121-123.
[5] 闫海玲.老年下肢动脉闭塞症患者经皮腔内血管成形术的护理体会[J].健康必读,2022,14(32):155-156,162.
[6] 何敏,龚如林,杨春霞.基于JBI的老年下肢动脉闭塞介入术后饮水规范性护理策略对造影剂肾病防控价值[J].中国医药导报,2023,20(14):171-174.
[7] 张倩倩,吴静.基于信息化平台的健康教育模式对下肢动脉闭塞症支架植入术后患者的影响[J].医药高职教育与现代护理,2022,5(4):314-318.
[8] 陶黠妍.下肢动脉硬化闭塞介入治疗围手术期的护理效果分析[J].临床护理研究,2023,32(21):136-138.