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目的探究与分析常规护理与临床护理路径预防股骨骨折患者术后深静脉血栓形成的效果。方法 80例股骨骨折患者,采取随机数字表法分为常规护理组与临床护理路径组,各40例。常规护理组给予一般护理,临床护理路径组在常规护理组基础上给予临床护理路径。对比两组患者的术后3 d凝血功能、下肢深静脉血栓形成率、下肢肿胀发生率、住院时间及护理满意度。结果临床护理路径组血浆凝血时间、活化部分凝血活酶时间、纤维蛋白原、下肢深静脉血栓形成率、下肢肿胀发生率、平均住院时间均优于常规护理组,差异有统计学意义(P<0.05)。结论对股骨骨折患者给予临床护理路径可有效预防术后深静脉血栓的形成。
Objective To explore and analyze the effect of routine nursing and clinical nursing on prevention of postoperative deep venous thrombosis in patients with femoral fracture. Methods Eighty patients with femoral fracture were randomly divided into routine nursing group and clinical nursing path group with 40 cases in each group. General nursing group to give general care, clinical nursing path group in the routine nursing group based on the clinical nursing path. The coagulation function, rate of deep venous thrombosis in lower limbs, incidence of lower extremity swelling, length of hospital stay and nursing satisfaction were compared between the two groups after 3 days. Results The clotting time, activated partial thromboplastin time, fibrinogen, deep venous thrombosis rate, lower limb swelling rate and average length of stay in clinical nursing group were significantly higher than those in routine nursing group (P < 0.05). Conclusion Clinical nursing of patients with femoral fractures can effectively prevent postoperative deep venous thrombosis.