Assessment of the effect of early nursing intervention on lower limb deep vein thrombosis after surgery in elderly patients with gastrointestinal tumors
早期护理干预对老年消化道肿瘤术后下肢深静脉血栓形成的影响评估

摘要

目的 分析早期护理干预在降低老年消化道肿瘤术后患者下肢深静脉血栓（DVT）发生率中的效果。方法 选取我院2023年6月至2025年6月期间120例接受消化道肿瘤手术的老年患者，随机分为干预组与对照组。对照组实施术后常规护理，干预组在此基础上实施早期护理干预方案。结果 干预组下肢DVT率显著低于对照组，D-二聚体水平与纤维蛋白原水平明显更低，下肢周径差值、VAS疼痛更小，平均术后住院时间更短（P<0.05）。结论 对老年消化道肿瘤手术患者实施的早期护理，能有效降低术后下肢DVT的发生风险，改善患者的高凝状态。

Abstract

Objective To analyze the effect of early nursing intervention in reducing the incidence of lower limb deep vein thrombosis (DVT) in elderly patients after gastrointestinal tumor surgery.
Methods A total of 120 elderly patients who underwent gastrointestinal tumor surgery at our hospital from June 2023 to June 2025 were selected and randomly divided into the intervention group and the control group. The control group received routine postoperative care, while the intervention group received an early nursing intervention program in addition to routine care.
Results The incidence of lower limb DVT in the intervention group was significantly lower than that in the control group. D-dimer and fibrinogen levels were significantly reduced, the difference in lower limb circumference and VAS pain scores were smaller, and the average postoperative hospital stay was shorter (P<0.05).
Conclusion   Early nursing intervention for elderly patients undergoing gastrointestinal tumor surgery can effectively reduce the risk of postoperative lower limb DVT and improve patients ' hypercoagulable state.