摘要
目的 探讨优质护理对腹腔镜子宫全切术后 DVT 的效果。方法 将我院 2021 年 1 月到 2022 年
1 月 80 例腹腔镜子宫全切术患者，双盲随机法分二组。对照组给予常规护理，实验组实施优质护理。比较
两组护理前后血液流变学情况、心理状态情况、满意度、腹腔镜子宫全切术后下床时间、入院首日至出院
时间、术后 DVT 发生率。结果 实验组血液流变学情况、心理状态情况低于对照组，满意度高于对照组，
腹腔镜子宫全切术后下床时间、入院首日至出院时间短于对照组，术后 DVT 发生率低于对照组，P＜0.05。
结论 腹腔镜子宫全切术患者实施优质护理效果确切。
关键词： 优质护理；腹腔镜子宫全切；术后 DVT；效果
Abstract
Objective To explore the effect of high quality nursing on DVT after laparoscopic total
hysterectomy. Methods From January 2021 to January 2022, 80 patients with total laparoscopic hysterectomy in
our hospital were randomly divided into two groups by double-blind method. The control group was given routine
nursing, and the experimental group was given high quality nursing. Hemorheology, psychological status,
satisfaction, time to get out of bed after laparoscopic total hysterectomy, time from the first day of admission to
discharge, and incidence of postoperative DVT were compared between the two groups before and after nursing.
Results The hemorheology and psychological status of the experimental group were lower than that of the control
group, and the satisfaction was higher than that of the control group. The time of getting out of bed after
laparoscopic total hysterectomy and the time from the first day of admission to discharge were shorter than that of
the control group. The incidence of POSTOPERATIVE DVT was lower than that of the control group, P < 0.05.
Conclusion The effect of high quality nursing in patients with laparoscopic total hysterectomy is definite.
Key words： Quality nursing; Laparoscopic total hysterectomy; Postoperative DVT. The effect
参考文献 References
[1] 王雪. 集束性护理干预在预防子宫内膜癌患者术后下肢深静脉血栓形成中的临床应用效果观察[J]. 现代诊断与治疗,2022,33(02):288-290.
[2] 周玲,何乐乐,耿方舟. Caprini 血栓风险评估联合集束化护理对腹腔镜下广泛性全子宫切除术患者术后下肢深静脉血栓形成的影响[J]. 医疗装备,2022,35(01):174-176.
[3] 陈晓燕,林丽芳,沈东梅. 气压治疗仪预防子宫肌瘤患者术后下肢深静脉血栓形成的护理效果[J]. 医疗装备,2021,34(21):183-184.
[4] 周育芹. 子宫肌瘤术后下肢深静脉血栓形成患者的护理体会[J]. 中国卫生标准管理,2021,12(11):156-157.
[5] 王佑招. 预见性护理联合空气波压力循环治疗仪对子宫肌瘤切除术后下肢深静脉血栓形成的预防效果[J].医疗装备,2021,34(09):180-182.
[6] 王敏,陆彩萍,王晓倩,倪美芳,徐萍,陆钰. Caprini 血栓风险评估联合集束化护理对腹腔镜下广泛性全子宫切除术病人术后下肢深静脉血栓形成的影响[J]. 全科护理,2021,19(03):383-385.
[7] 任红玉. 优质护理在腹腔镜下子宫全切术后患者中的应用效果[J]. 中国医药指南,2020,18(36):212-213.
[8] 杨娟,房喜英. 腹腔镜子宫内膜癌患者术后下肢深静脉血 栓 形 成原 因 及 护 理 对 策[J]. 中 国 肿 瘤临 床 与 康复,2020,27(12):1468-1470.
[9] 郝丽春 减少腹腔镜子宫全切术后下肢深静脉血栓形成的优质化护理方法研究 . 临床医药文献电子杂志,2019 ,6 (80) :121-122
[10] 胡素雷,袁华 改良截石位结合临床护理路径运用于腹腔镜子宫全切术中对预防下肢深静脉血栓的效果探析 .现代中西医结合杂志,2018,27(8):905-908
[11] 杨慧,余淇美 改良截石位在腹腔镜子宫切除手术中预防下肢深静脉血栓的护理效果研究 . 实用妇科内分泌电子杂志, 2019 ,6 (33) :127,130