中西医结合护理（中英文）2023，Vol.9Issue(11)：29-32,4.DOI:10.11997/nitcwm.202311008
行脊柱手术患者围手术期内静脉血栓的预防策略及应用效果
Prevention strategy of venous thrombosis in patients undergoing spinal surgery during perioperative period and its application effect
摘要
Abstract
Objective To analyze the prevention strategy of venous thrombosis in patients undergoing spinal surgery during perioperative period and its application effect.Methods A total of 110 patients undergoing spinal surgery admitted to Nanfang Hospital of Southern Medical University from June 2020 to June 2022 were included in the study.The observation group(55 cases)and the control group(55 cases)were included by simple randomization method.Both groups received routine perioperative nursing,while the observation group additionally received evidence-based nursing for venous thrombosis prevention.The coagulation function and other indexes of the two groups were compared.Results On the 3rd day after surgery,the plasma prothrombin time(PT),activated partial thromboplastin time(APTT)and thrombin time(TT)in both groups were shorter than those on the 1st day before surgery,but those indexes in the observation group were longer than those in the control group.On the 7th day after surgery,the TT of the observation group was shorter than that on the 1st day before surgery,and PT,APTT and TT in the control group were shorter than those on the 1st day before surgery and those in the observation group,with statistical differences(all P＜0.05).The plasma fibrinogen and D-dimer levels in both groups on the 3rd and 7th day after surgery were higher than those on the 1st day before surgery,but those indexes in the observation group were lower than those in the control group at the same period(all P＜0.05).On the 3rd day after surgery,the blood flow velocity of common femoral vein,popliteal vein and iliac vein in both groups was slower than that on the 1st day before surgery,but the index in the observation group was faster than that in the control group.On the 7th day after surgery,the blood flow velocity of the common femoral vein and iliac vein in the observation group was slower than that on the 1st day before surgery,while the blood flow velocity of the common femoral vein,popliteal vein and iliac vein in the control group was slower than that on the 1st day before surgery and in the same period of the observation group,with statistical differences(all P＜0.05).The incidence of venous thrombosis in the observation group was lower than that in the control group(P＜0.05).Conclusion The prevention strategy of perioperative venous thrombosis in patients undergoing spinal surgery based on evidence-based evidence can effectively improve the fluctuation of blood flow velocity,coagulation function and related indexes of patients,and reduce the incidence of venous thrombosis.关键词
脊柱手术/围手术期/静脉血栓/预防策略Key words
spinal surgery/perioperative period/venous thrombosis/prevention strategy分类
临床医学引用本文复制引用
李海叶,侯晓敏,陈志叶,杨文军..行脊柱手术患者围手术期内静脉血栓的预防策略及应用效果[J].中西医结合护理（中英文）,2023,9(11):29-32,4.基金项目
广东省护理学会护理科研项目(gdhlxueh2019zl041) （gdhlxueh2019zl041）
