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目的探讨集束化护理对宫外孕失血性休克患者术后下肢运动功能及深静脉血栓的影响。方法选择2013年1月至2016年3月收治的宫外孕失血性休克患者80例为研究对象,按随机数字表法分为两组,各40例。观察组患者实施集束化护理,对照组患者实施常规护理,比较两组患者住院期间发生下肢血栓形成、脑血管栓塞及肺栓塞的情况及总发生率,并统计两组术后下床时间、住院时间以及护理满意度。结果观察组患者住院期间下肢血栓形成、脑血管栓塞及肺栓塞的总发生率显著少于对照组,术后下床时间早于对照组,住院时间短于对照组,差异均有统计学意义(均P<0.05);且观察组患者的护理满意度高于对照组(P<0.05)。结论针对宫外孕失血性休克患者实施集束化护理,有利于促进肢体运动功能恢复,降低下肢深静脉血栓发生率,且患者护理满意度高。
Objective To investigate the effect of cluster nursing on the lower extremity motor function and deep venous thrombosis after hemorrhagic shock in patients with ectopic pregnancy. Methods Eighty patients with hemorrhagic shock of ectopic pregnancy who were treated from January 2013 to March 2016 were selected as study objects and divided into two groups (n = 40) according to random number table. Patients in the observation group received intensive care and patients in the control group received routine nursing care. The incidence of lower extremity thrombosis, cerebrovascular embolism, and pulmonary embolism in the two groups was compared between the two groups, and the total incidence was compared between the two groups. Time and nursing satisfaction. Results The incidence of lower extremity thrombosis, cerebrovascular embolism and pulmonary embolism in the observation group was significantly less than that in the control group during hospitalization. The time to get out of bed after operation was earlier than that of the control group, and the length of hospital stay was shorter than that of the control group All P <0.05). And the nursing satisfaction of the observation group was higher than that of the control group (P <0.05). Conclusions The implementation of cluster nursing for patients with hemorrhagic shock of ectopic pregnancy can promote recovery of limb motor function, reduce the incidence of deep venous thrombosis of lower extremities, and the patient care satisfaction is high.