检索结果-南通市图书馆

8腔防血栓型(Phlebo Press dvt)深部静脉血栓防治仪在剖宫产术后下肢深静脉血栓形成中的预防效果

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

首都食品与医药 2024年第11期31卷 37-39页

作者：程晓燕天津医科大学第二医院天津300211

目的分析在预防剖宫产产妇术后下肢深静脉血栓(deep venous thrombosis,dvt)的过程中深部静脉血栓防治仪的应用效果。方法此研究随机在2022年1月-12月期间于天津医科大学第二医院接受剖宫产的产妇中抽取56例开展试验研究,为了试验公平... 详细信息

目的分析在预防剖宫产产妇术后下肢深静脉血栓(deep venous thrombosis,dvt)的过程中深部静脉血栓防治仪的应用效果。方法此研究随机在2022年1月-12月期间于天津医科大学第二医院接受剖宫产的产妇中抽取56例开展试验研究,为了试验公平性与结果可参考性,以随机数字表法将患者分为观察组、对照组,每组的患者例数均为28例,对照组产妇开展常规干预,观察组在常规干预基础上加用8腔防血栓型(Phlebo Press dvt)深部静脉血栓防治仪干预。结果相对于对照组产妇来说,观察组产妇术后dvt形成干预效果更为理想,P0.05;而干预后则差异具有统计学意义,Pdvt预防的过程中,深部静脉血栓防治仪发挥着较好的作用,值得予以临床推广。

关键词：深部静脉血栓防治仪剖宫产 dvt 凝血功能血液流变学指标

关于脊柱损伤及脊柱手术后dvt的预防与护理研究进展

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

中文科技期刊数据库（全文版）医药卫生 2024年第3期 97-100页

作者：林冰寒清远市人民医院广东清远511500

近年来,受多种因素的影响,导致我国脊柱损伤发病率显著增加,且呈逐年增加趋势,对患者机体健康产生消极影响,降低其生活质量,预后差。脊柱损伤主要是以手术治疗为主,对患者加快日常生活及功能恢复有积极意义。但术后深静脉血栓形成(dvt)... 详细信息

近年来,受多种因素的影响,导致我国脊柱损伤发病率显著增加,且呈逐年增加趋势,对患者机体健康产生消极影响,降低其生活质量,预后差。脊柱损伤主要是以手术治疗为主,对患者加快日常生活及功能恢复有积极意义。但术后深静脉血栓形成(dvt)风险高,导致预后效果差,对患者健康及恢复等产生阻碍。因此,在疾病治疗及康复期间,需重视对患者进行护理指导,进而有效预防dvt,加快疾病恢复进程,改善疾病预后结局。基于此,本文对脊柱损伤及脊柱手术后dvt的预防与护理研究进展进行分析,以期为后续护理提供科学指导。

关键词：脊柱损伤脊柱手术 dvt 预防护理

PDCA循环管理模式在下肢骨折围术期中的应用及对预防dvt形成的影响

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

黑龙江医药 2024年第1期37卷 236-238页

作者：冯桂贞钟艳清徐胜娟广州市白云区第二人民医院广东广州510000

目的:探讨PDCA循环管理模式在下肢骨折围术期中的应用及对预防dvt形成的影响。方法:选择2021年6月—2023年6月本院收治的80例下肢骨折患者为研究对象,采用随机数字表法分为观察组(40例)和对照组(40例);对照组给予常规干预,观察组在对照... 详细信息

目的:探讨PDCA循环管理模式在下肢骨折围术期中的应用及对预防dvt形成的影响。方法:选择2021年6月—2023年6月本院收治的80例下肢骨折患者为研究对象,采用随机数字表法分为观察组(40例)和对照组(40例);对照组给予常规干预,观察组在对照组基础上给予PDCA循环管理,比较两组干预效果。结果:观察组dvt发生率低于对照组(P<0.05);干预后,观察组患者不同时间点(术后1天、2天、3天)的疼痛评分低于对照组(P<0.05);干预后,观察组患者的健康知识认知度,疼痛检测配合度,康复锻炼参与度以及用药主动性评分高于对照组(P<0.05);干预后,观察组患者的满意率明显更高(x^(2)=8.538,P=0.003)。结论:PDCA循环管理模式在下肢骨折围术期中的应用效果十分显著,可在未来临床中加以应用和推广。

关键词： PDCA循环管理模式下肢骨折应用 dvt

桃红四物汤合防己黄芪汤结合空气压力波治疗仪预防术后下肢深静脉血栓的效果观察

在线全文

学校读者我要写书评

暂无评论

四川中医 2024年第4期42卷 127-130页

作者：张艳陈小龙刘静张秀珍安徽中医药大学附属太和中医院安徽太和236600

目的:探究桃红四物汤合防己黄芪汤结合空气压力波治疗仪(IPC)对预防胸腰椎骨折术后下肢深静脉血栓(dvt)的疗效。方法:选取2019年5月~2022年5月行胸腰椎骨折修复术的患者92例,随机分为中药组和常规组,各46例,患者术后均给予基础治疗,常... 详细信息

目的:探究桃红四物汤合防己黄芪汤结合空气压力波治疗仪(IPC)对预防胸腰椎骨折术后下肢深静脉血栓(dvt)的疗效。方法:选取2019年5月~2022年5月行胸腰椎骨折修复术的患者92例,随机分为中药组和常规组,各46例,患者术后均给予基础治疗,常规组加用IPC治疗,中药组在常规组基础上加予桃红四物汤合防己黄芪汤,两组均治疗2周。比较两组dvt发生率、下肢血流动力学指标、凝血指标、下肢视觉模拟评分(VAS)、肢体周径,记录治疗期间不良反应。结果:中药组dvt发生率为13.04%,低于常规组的30.43%(P0.05)。结论:桃红四物汤合防己黄芪汤结合IPC能明显降低胸腰椎骨折术后dvt的发生,加速下肢血流,改善其凝血功能,降低下肢肿胀、疼痛程度,值得临床应用。

关键词：桃红四物汤合防己黄芪汤空气压力波治疗仪胸腰椎骨折术后 dvt 下肢血流动力学指标凝血功能

医护技一体化模式在预防脑出血手术患者下肢深静脉血栓发生率中的应用

在线全文

学校读者我要写书评

暂无评论

中文科技期刊数据库（文摘版）医药卫生 2024年第1期 118-121页

作者：杨敏李小妹西安交通大学医学部陕西西安710061 延安大学咸阳医院护理部陕西咸阳712000

研究医护技一体化模式对脑出血手术患者干预效果。方法选择我院脑出血手术患者127例,对照组(64例)传统护理模式干预,实验组(63例)加用医护技一体化模式干预,观察两组dvt发生率等差异。结果两组dvt发生率等均差异显著(P<0.05)。结论 ... 详细信息

研究医护技一体化模式对脑出血手术患者干预效果。方法选择我院脑出血手术患者127例,对照组(64例)传统护理模式干预,实验组(63例)加用医护技一体化模式干预,观察两组dvt发生率等差异。结果两组dvt发生率等均差异显著(Pdvt的风险性也随之增加,传统护理干预对dvt的预防效果不足,采取医护技一体化模式干预的效果显著改善,能够明确提高患者的护理质量,降低dvt的发病几率,值得临床重视。

关键词：医护技一体化模式脑出血 dvt 发病率

Perioperative treatment of femoral neck fracture with deep venous thrombosis： A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese Journal of Traumatology 2015年第2期18卷 109-112页

作者： Ming Liu Lei Liu Fuguo Huang Yue Fang Gang Zhong Zhou Xiang Department of Orthopaedics West China Hospital of Sichuan University Chengdu 610041 China

Deep venous thrombosis (dvt) is an important cause of disability and mortality after major orthopedic surgery. The roles of perioperative treatment and prevention of dvt in patients with femoral neck fractures who require major surgery have not yet been well explored in Chinese clinical practice. Here we report a case of calf muscular venous thrombosis in a 55-year-old woman with femoral neck fracture before surgery. Preventive and treatment measures including the administration of heparin sodium, application of venous foot pump and placement of inferior vena cava filter were taken. The condition of the patient was stable during the perioperative period and the surgery was successful. Besides, postoperative examination showed that the femur healed well and the functional recovery was satisfactory. Our results suggest that femoral neck fracture patients combined with dvt can receive surgery after accurate preoperative assessment and proper preoperative treatment.

关键词：围手术期骨折愈合血栓形成股骨静脉预防作用 dvt 临床实践

下肢骨折患者深静脉血栓形成的发生时间与部位规律研究及药物防治效果评价

在线全文

学校读者我要写书评

暂无评论

中华创伤骨科杂志 2022年第3期24卷 185-189页

作者：张堃王鹏飞西安交通大学医学院附属西安红会医院创伤骨科西安710054

深静脉血栓形成(deep vein thrombosis,dvt)是血液在深静脉内不正常凝结,使静脉完全或不完全阻塞。dvt是骨创伤患者、尤其是下肢骨折患者围手术期常见的并发症。由于骨折部位及类型不同,其发生率也不同,为5%~86%[1]。围手术期通过采取... 详细信息

深静脉血栓形成(deep vein thrombosis,dvt)是血液在深静脉内不正常凝结,使静脉完全或不完全阻塞。dvt是骨创伤患者、尤其是下肢骨折患者围手术期常见的并发症。由于骨折部位及类型不同,其发生率也不同,为5%~86%[1]。围手术期通过采取有效的预防措施可以降低下肢骨折患者dvt的发生率,节约医疗资源。

关键词：深静脉血栓形成下肢骨折患者防治效果评价围手术期骨折部位骨创伤患者预防措施 dvt

Effect of ulinastatin combined rivaroxaban on deep vein thrombosis in major orthopedic surgery

在线全文

学校读者我要写书评

暂无评论

Asian Pacific Journal of Tropical Medicine 2014年第11期7卷 918-921页

作者： Xi Yu Yi Tian Ka Wang Ying-Lin Wang Guo-Yi Lv Guo-Gang Tian Department of Anesthesiology 2nd hospital of Tianjin Medical University Department of Anesthesiology Central South University Xiangya School of Medicine Affiliated Haikou Hospital

Objective:To explore the effect of ulinastatin(UTI) continuous infusion combined Rivaroxaban on the deep vein thrombosis in patients undergoing major orthopedic surgery.Methods:Forty-five patients undergoing major orthopedic surgery were randomly divided into three groups:ulinastatin continuous infusion(Uc) group,ulinastatin single injection(Us) group and control(C) group.All patients received patient-controlled intravenous analgesia(PCIA) after operation,and took Rivaroxaban 10 mg orally 12 hours after operation.Ulinastatin(5 000 U/kg)was given intravenously to both Uc and Us groups preoperatively.Group C was given isometric normal saline,group Uc was pumped UTI continuous intravenously at the end of surgery(10 000U/kg) to 48 hours through PCIA pump.The values of hematocrit(HCT),thrombomodulin(TM),Interleukin(IL-6),thrombin-antithrombin complex(TAT),D-Dimer(D-D) were normally tested before surgery(T1),at the end of the surgery(T2),12 hours(T3).24 hours(T4) and 48 hours(T5)after surgery.Results:Compared with T1,there was an upward tendency in TM,IL-6,TAT,and D-D after operation in group C group(P 0.05).Conclusions:During the perioperative period,ulinastatin continuous infusion combined Rivaroxaban can correct blood hypercoagulability through different approaches in patients undergoing major orthopedic surgery.

关键词： Ulinastatin Rivaroxaban dvt Orthopedic surgery

Stratified Prophylaxis of Deep Venous Thrombosis in Surgical Patients Based on Caprini Risk Assessment: A Pilot Study

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Nursing 2023年第11期13卷 754-762页

作者： Jiaojiao Gu Miaoxia Chen Ling Zou Xia Lin Zhaolan Ou Xiaoqing Huang Chunxiao Luo Yexiang Yang Hepatobiliary Surgery Department Third Affiliated Hospital of Sun Yat-sen University Guangzhou China

BACKGROUD: Venous thromboembolism (VTE) including dvt and pulmonary embolism (PE) can be a devastating complication in postoperative patients which is also considered the most likely to be prevented. The proper assessment and effective identification of high risk factors of dvt are the basis for its prevention. We used the Caprini risk assessment model (Caprini RAM) based on many researches about the validation of dvt risk assessment model, and combined the recommendations reported in American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (9th) and Chinese Orthopaedics Association guideline, to give surgical patients stratified prophylaxis. STUDY DESIGN: Between April 2016 and December 2016, we conducted a controlled trial study in 4 surgical departments including Gynecology Department, Joint Surgery, Spinal Surgery and Urology Surgery. 764 patients were included in control group, and 772 patients were included in intervention group. We used the original assessment and prevention methods in control group, while applied the stratified prophylaxis based on Caprini risk assessment level in intervention group. The incidence of dvt was analyzed using chi-square test, while patients’ hospital day was analyzed by independent t-tests. RESULTS: There was significantly difference in incidence rate of dvt between the two groups (13.09‰ vs. 2.59‰, P 0.05). Most of the surgical patients were with moderate or high-risk (64.93%). CONCLUSIONS: Nurses could identify dvt risk factors in surgical patients using the Caprini risk assessment scale, and apply targeted stratified prophylaxis according to risk level. This model makes dvt risk assessment and intervention process more standardized and effective. It can also reduce incidence rate of dvt significantly. .

关键词： dvt VTE Caprini Prophylaxis