冯雪玉

[摘要] 目的 探讨早期护理干预预防骨科糖尿病患者术后深静脉血栓形成的价值。方法 选择2017年5月—2019年5月骨科糖尿病患者80例，随机分为对照组和观察组，每组40例。对照组给予常规护理，观察组在对照组基础上采用护理干预，1个月护理后对患者效果进行评估，比较两组患者的血糖情况、深静脉血栓发生率。结果 两组患者的血糖均能够得到控制，观察组护理后血糖控制优于对照组（P<0.05）;观察组护理后深静脉血栓的发生率低于对照组（P<0.05）。 结论 早期护理干预在骨科糖尿病患者预防深静脉血栓形成具有重要价值，能够有效的预防术后深静脉血栓的形成，同时，还能够控制好患者的血糖。

[关键词] 早期护理干预;骨科;糖尿病;术后;深静脉血栓

[中图分类号] R473.6         [文献标识码] A          [文章编号] 1672-4062（2020）05（b）-0158-03

The Value of Early Nursing Intervention to Prevent Deep Vein Thrombosis in Patients with Orthopedic Diabetes

FENG Xue-yu

Operating Room of Zhangzhou Hospital of Traditional Chinese Medicine， Zhangzhou， Fujian Province， 363000 China

[Abstract] Objective To explore the value of early nursing intervention to prevent postoperative deep vein thrombosis in patients with orthopedic diabetes. Methods Eighty patients with orthopedic diabetes from May 2017 to May 2019 were randomly divided into a control group and an observation group， with 40 patients in each group. The control group was given routine nursing care， and the observation group was given nursing intervention based on the control group. After one month of nursing， the effect of the patients was evaluated and the blood glucose and the incidence of deep vein thrombosis were compared between the two groups. Results The blood glucose of both groups of patients could be controlled. The blood glucose control in the observation group was better than that in the control group（P<0.05）. The incidence of deep vein thrombosis in the observation group was lower than that in the control group（P<0.05）. Conclusion Early nursing intervention is of great value in the prevention of deep vein thrombosis in patients with orthopedic diabetes. It can effectively prevent the formation of deep vein thrombosis after operation， and can also control the blood glucose of patients.

[Key words] Early nursing intervention; Orthopedics; Diabetes; Postoperative; Deep vein thrombosis

深靜脉血栓形成是指血液在深静脉腔内异常凝结，阻塞静脉管腔进而导致静脉回流障碍，从而引发远端静脉高压，肢体出现肿胀、疼痛等临床症状，以下肢最为多见[1]。深静脉血栓能够造成不同程度的慢性深静脉功能不全，严重时可导致残疾。深静脉血栓主要是静脉血流滞缓、静脉壁损伤和血液高凝状态综合作用下，形成血栓，与患者的年龄、手术类型、术后卧床时间等多种因素有关[2]。临床研究表明：普外科手术术后发生生静脉血栓的发病率在20%左右，神经外科手术在25%左右，其发生率逐渐在上升，不仅能够引发肺栓塞，且还对患者的劳动能力造成影响，降低生活质量[3]。针对深静脉血栓形成有必要采取相关措施，以降低血栓的发生率。但是，关于早期护理干预预防骨科糖尿病术后深静脉血栓形成的价值研究较少[4]。因此，该文以该院于2017年5月—2019年5月收治的80例骨科糖尿病患者作为对象开展研究，探讨早期护理干预预防骨科糖尿病患者术后深静脉血栓形成的价值，现报道如下。……