老年患者消化道穿孔术后深静脉血栓高危风险的筛查及护理

发布时间：2018-04-01 20:27

本文选题：老年　切入点：消化道穿孔　出处：《河北医学》2016年11期

【摘要】：目的:筛查和研究老年患者消化道穿孔术后深静脉血栓形成的高危风险和护理防控对策。方法:随机抽取41例老年消化道穿孔手术患者且对其风险进行筛查,作为对照组、给予常规护理对策;另外再抽取41例老年消化道穿孔手术者作为观察组,根据高危风险筛查结果,予以综合性护理防控对策;对老年消化道穿孔术后下肢深静脉血栓形成风险因素进行单因素分析和多元Logistic逐步回归分析,且比较两组患者下肢深静脉血栓形成率以住院时间、护理满意度。结果:单因素结果显示年龄、血栓史、房颤史、高血压、糖尿病、高脂血症、恶性肿瘤、胃癌穿孔修补术、手术时间4h、卧床时间72h、应用高渗脱水剂是导致老年消化道穿孔术后下肢静脉血栓风险形成的原因,而多因素Logistic回归模型分析结果显示年龄、血栓史、房颤史、胃癌穿孔修补术、手术时间4h、卧床时间72h是老年消化道穿孔术后下肢深静脉血栓发生的高危风险,P0.05;观察组术后深静脉发生1例、发生率2.44%,低于对照组(对照组9例、发生率21.95%);护理满意度97.56%,高于对照组(78.05%),P0.05。结论:积极有效筛查老年消化道穿孔术后者深静脉血栓形成的高危风险,及时做出相应的护理防控对策有利于降低深静脉血栓发生率,提高护理满意度,值得肯定与进一步扩大样本加以精确研究。
[Abstract]:Objective: to screen and study the high risk of deep vein thrombosis after digestive tract perforation in elderly patients and nursing prevention and control measures. Methods: 41 elderly patients with gastrointestinal perforation were randomly selected and their risk was screened as control group. In addition, 41 cases of senile patients with digestive tract perforation were selected as observation group, according to the results of high risk screening, comprehensive nursing prevention and control measures were given. Univariate analysis and multivariate Logistic stepwise regression analysis were performed on the risk factors of deep venous thrombosis in the lower extremity after gastrointestinal perforation in the elderly. The rate of deep venous thrombosis in the lower extremity was compared between the two groups and the hospitalization time was compared between the two groups. Results: univariate results showed that age, history of thrombus, history of atrial fibrillation, hypertension, diabetes, hyperlipidemia, malignant tumor, gastric cancer perforation repair, The operation time was 4 hours and bed rest time was 72 hours. Hyperosmotic dehydration was the cause of lower limb venous thrombosis risk after gastrointestinal perforation in the elderly. The results of multivariate Logistic regression analysis showed that age, history of thrombus, history of atrial fibrillation, repair of gastric cancer perforation. Operation time 4 h and bed rest time 72 h were the high risk of deep venous thrombosis in lower extremity after digestive tract perforation in the elderly (P 0.05), and the incidence of deep vein in the observation group was 2.44, which was lower than that in the control group (9 cases in the control group). The rate of nursing satisfaction was 97.56, which was higher than that of the control group (78.05). Conclusion: active and effective screening of the high risk of deep vein thrombosis after gastrointestinal perforation in the elderly and timely nursing prevention and control measures can help to reduce the incidence of deep vein thrombosis. To improve nursing satisfaction, it is worth to confirm and further expand the sample for accurate study.
【作者单位】：江苏省盐城市第一人民医院普外二科;
【基金】：国家自然科学基金,(编号:81302304)
【分类号】：R473.6

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