Nursing care of preventing venous thrombosis of lower extremities during perioperative period of gynecological pelvic surgery
妇科盆腔手术围手术期预防下肢深静脉血栓形成的护理

摘要

目的 研究妇科盆腔手术患者采用围手术期护理对预防下肢深静脉血栓的临床效果。方法 需要选取68例妇科盆腔手术患者，采取分组式结果分析，将该68例患者按照1:1比例分为观察组（n=34例）与对照组（n=34例），患者抽取时间段介于2019年2月到2019年8月之间，对照组妇科盆腔手术患者采用常规护理方式，观察组妇科盆腔手术患者运用围手术期护理，研究期间需要护理人员做好记录工作，对比两组患者护理满意度、下肢深静脉血栓发生率。结果 观察组妇科盆腔手术患者采用围手术期护理，其下肢深静脉血栓发生率数为1例，下肢深静脉血栓发生率为2.94%，对照组妇科盆腔手术患者运用常规护理下肢深静脉血栓发生率数为7例，下肢深静脉血栓发生率为20.58%，观察组血栓发生率高于对照组，组间差异显著（P＜0.05）。此外，观察组患者护理满意度为94.12%，相较于对照组患者护理满意度76.47%高，数据对比存在差异，具有实际统计意义（P＜0.05）。结论 对妇科盆腔手术患者采用围手术期护理，可以有效降低患者下肢深静脉血栓发生率，提升护理满意度，对疾病恢复具有重要意义，值得临床推广使用。

Abstract

Objective: To study the clinical effect of perioperative nursing of patients with gynecological pelvic surgery on prevention of deep venous thrombosis of lower extremities.
Methods: 68 cases of gynecological pelvic surgery patients were selected and grouped results analysis was performed. The 68 patients were divided into an observation group (n = 34 cases) and a control group (n = 34 cases) according to a 1: 1 ratio. The segment is between February 2019 and August 2019. The patients in the control group for gynecological pelvic surgery use conventional nursing methods, and the patients in the observation group for gynecological pelvic surgery use perioperative care. The patients' nursing satisfaction and the incidence of lower limb deep vein thrombosis.
Results: The gynecological pelvic surgery patients in the observation group received perioperative care. The incidence of deep vein thrombosis in the lower extremity was 1 case, and the incidence of deep vein thrombosis in the lower extremity was 2.94%. The rate was 7 cases, and the incidence of deep vein thrombosis in the lower extremities was 20.58%. The incidence of thrombosis in the observation group was higher than that in the control group, and the difference between the groups was significant (P <0.05). In addition, the nursing satisfaction of patients in the observation group was 94.12%, which was higher than that of the control group, which was 76.47%. There was a difference in data comparison, which had practical statistical significance (P <0.05).
Conclusion  : Perioperative nursing for patients with gynecological pelvic surgery can effectively reduce the incidence of deep vein thrombosis of the lower extremities of patients and improve nursing satisfaction, which is of great significance for disease recovery and is worthy of clinical promotion.