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目的探讨护理预防宫颈癌患者术后下肢深静脉血栓形成(DVT)的临床效果。方法选取我院2012年10月至2013年11月收治的198例宫颈癌患者,按照患者入院时间顺序,将198例患者随机分为观察组与对照组。对照组(n=99)患者采用常规护理,观察组(n=99)患者在常规护理的基础上加以行为护理。治疗15 d后观察并评价两组患者的临床疗效、下肢肿胀情况、下肢血管通畅程度。结果(1)两组患者干预治疗后的患肢周径变化结果显示:两组患者干预治疗后均出现不同程度的减低(P<0.01),其中观察组在干预治疗后5 d、8 d、15 d时,患者患肢周径显著低于对照组(P<0.01);(2)两组干预治疗15 d后,观察组Fbg水平及D-D水平显著低于对照组,具有统计学意义(P<0.01);(3)干预治疗15 d后,观察组总有效率显著高于对照组(89.9%vs 65.72%)(P<0.05)。结论行为护理,两组数据差异具有统计学意义预防宫颈癌患者术后下肢DVT的临床效果更佳。
Objective To investigate the clinical effect of nursing on the prevention of postoperative deep vein thrombosis (DVT) in patients with cervical cancer. Methods A total of 198 patients with cervical cancer who were admitted to our hospital from October 2012 to November 2013 were randomly divided into observation group and control group according to patient’s admission time sequence. Patients in the control group (n = 99) underwent routine care and patients in the observation group (n = 99) underwent behavioral nursing on the basis of routine care. After 15 days of treatment, the clinical efficacy, lower extremity swelling and lower extremity vascular patency were observed and evaluated in both groups. Results (1) The change of limb circumference after treatment intervention in both groups showed that both groups had different degrees of reduction (P <0.01) after intervention, in which the observation group at 5 d, 8 d, (P <0.01). (2) After 15 days of treatment, Fbg level and DD level in the observation group were significantly lower than those in the control group (P <0.01). (3) After 15 days of intervention, the total effective rate in the observation group was significantly higher than that in the control group (89.9% vs 65.72%) (P <0.05). Conclusion Behavior care, the two groups of data was statistically significant to prevent postoperative cervical lower extremity DVT clinical outcomes better.