张莹 郭巍莉 范薇 林晓华

【摘 要】目的：对接受了手术治疗腹部肿瘤的患者实施护理工作，探讨其改善下肢静脉血栓的效用及应用价值。方法：本研究时间为2019年2月份至2020年2月份。研究按照计算机表法，将参研的46位患者分成了A、B两组，每组23例。按照计算机表法，将参研患者分成A、B两组，每组23例，A组作为研究组，接受特别专项护理，B组作为参照组，仅接受传统护理。对比两组患者的下肢血液流动情况、下肢血栓发生情况以及总体护理效果。结果：A组的肢体功能在护理的帮助下，改善情况显著好于B组，血栓发生较少，总体护理效果相比之下更佳，数据对比存在差异（P<0.05）。结论：接受了腹部肿瘤手术的患者，为预防其下肢出现血栓症状，应用特别专项护理方案，促进肢体功能的改善，提高总体护理效率。

【关键词】腹部肿瘤手术；深静脉血栓；临床护理

Nursing countermeasures for preventing lower extremity deep venous thrombosis in patients with abdominal tumor during perioperative period

Zhang Ying GuoWeili Fan Wei Lin Xiaohua（corresponding author） Jilin Cancer Hospital，Jilin Changchun 130300，China

【Abstract】Objective： to implement nursing care for patients with abdominal tumors who received surgical treatment， and to explore its utility and application value in improving lower extremity venous thrombosis.Methods： a total of 46 patients participated in this study. The study was officially carried out in February 2019 for one year. According to the computer table method， the participating patients were divided into two groups A and B， with 23 people in each group. Group a served as the study group and received special nursing， while group B served as the reference group and only received traditional nursing. The lower limb blood flow， lower limb thrombosis and overall nursing effect were compared between the two groups.Results： with the help of nursing， the improvement of limb function in group A was significantly better than that in group B， with less thrombosis and better overall nursing effect. There was a difference in data comparison（P<0.05）.Conclusion： in order to prevent lower limb thrombosis， special nursing scheme should be applied to promote the improvement of limb function and improve the overall nursing efficiency.

【Key？Words】Abdominal tumor surgery； Deep venous thrombosis； Clinical nursing

深靜脉血栓指的是当患者血液流到下肢时，在下肢的深静脉处发生了血液凝结，致使血液流至肢体末端后无法照常回流的现象[1]。此种现象通常在患者接受了腹部肿瘤摘除手术后作为并发症出现，会导致一系列如静脉曲张等不良症状出现[2]。因此，临床为避免出现此现象，通常会予以患者护理以期辅助治疗。但近几年临床试验中发现，传统护理越来越无法达到预期效果。

1 资料与方法

1.1 一般资料

研究时间为2019年2月份至2020年2月份。研究按照计算机表法，将参研的46例患者分成了A、B两组，每组23例。A组作为研究对象，在护理方式上选用特别专项护理，男11例，女12例，年龄27岁～47岁，平均年龄（37.15±1.37）岁；B组作为研究的参照对象，仅接受临床传统护理方案，男14例，女9例，年龄27岁～47岁，平均年龄（37.18±1.39）岁。……