蒋凤清

【摘 要】目的：分析预防性护理对脑卒中中风患者下肢深静脉血栓形成的影响。方法：选取2016年9月至2019年1月到我院神经内科就诊的80例脑卒中中风患者作为观察对象，通过电脑分组法将患者分为对照组（n=40）和实验组（n=40）。对照组患者安排常规护理工作，实验组在常规护理基础上增加预防性护理干预。比较两组患者中风后的下肢深静脉血栓的发病率、生活质量评分、患者及其家属对护理的满意程度。结果：实验组患者在接受了预防性护理干预后，下肢深静脉血栓的发病率明显比对照组更低，生活质量评分和患者及其家属的护理满意度更高，差异具有统计学意义（p<0.05）。结论：预防性护理干预工作在对脑卒中中风患者的护理中能够有效减少下肢深静脉血栓形成的风险，有利于提高患者的生活质量和护理满意度，具有较高的临床价值。

【关键词】预防性护理;脑卒中;神经内科;疗效;中风;下肢深静脉血栓;影响

abstract objective： to analyze the effect of preventive care on deep venous thrombosis in lower limbs in stroke patients. Methods： 80 stroke patients who visited the department of neurology of our hospital from September 2016 to January 2019 were selected as the observation objects. The patients were divided into the control group （n=40） and the experimental group （n=40） by computer grouping method. The control group of patients arranged routine nursing work， the experimental group on the basis of routine nursing to increase preventive nursing intervention. The morbidity， quality of life score， satisfaction degree of patients and their families with nursing after stroke were compared between the two groups. Results： after receiving preventive nursing intervention， the incidence of lower extremity deep venous thrombosis in the experimental group was significantly lower than that in the control group， and the quality of life score and nursing satisfaction of patients and their families were higher， the difference was statistically significant （p<0.05）. Conclusion： preventive nursing intervention in the care of stroke patients can effectively reduce the risk of lower limb deep vein thrombosis， is conducive to improve the quality of life and nursing satisfaction of patients， has a high clinical value.

key words  preventive care; Stroke; Department of neurology; Curative effect; Stroke; Deep venous thrombosis of lower extremities; impact

【中圖分类号】R543【文献标识码】A【文章编号】1672-3783（2020）06-18--01

脑卒中是一种临床常见的神经内科疾病，具有发病率高、致残率高、死亡率高的特点。脑卒中患者在发病后可能会出现不同程度的语言功能障碍、运动功能障碍等临床表现，也就是我们俗称的中风。脑卒中中风患者大多为老年群体，老年患者年龄较大、抵抗力较弱，恢复起来更加缓慢。如果缺乏妥善的护理，极易产生压力性损伤、下肢深静脉血栓等并发症[1]，加重患者病情，甚至还会导致死亡，这严重影响了老年患者的生活质量。做好预防性护理工作具有现实意义。本次研究通过选取我院收治的80例脑卒中中风患者作为本次研究观察的对象，分析了预防性护理的重……