Preventive effect of comprehensive nursing mode on postoperative lower deep vein thrombosis in patients with spinal fracture and spinal cord injury
综合护理模式在脊柱骨折伴脊髓损伤患者术后下深静脉血栓形成的预防作用

摘要

目的 本课题旨在通过观察脊柱骨折伴脊髓损伤患者术后下静脉血栓的形成原因，研究综合护理在这其中的预防效果。方法 选取2019年6月-2021年6月本院收治的100例脊柱骨折伴脊髓损伤，按照其入院的先后顺序将其划分为实验组和常规组，常规组进行常规护理措施，实验组进行综合护理干预。术后3d复查下肢血管彩超，术后7d复查凝血指标，通过比较两组患者的凝血酶还原时间、部分活化凝血酶时间、D—二聚体、纤维蛋白原水平等指标，并以此相关数据作为研究价值体现，做详细阐述。结果 实验组的DVT及肺栓塞发生率均明显低于常规组（P<0.05）。实验组的凝血酶还原时间、部分活化凝血酶时间、D-二聚体、纤维蛋白原水平等指标均显优势，两组数据经比较有统计学意义P<0.5。结论 综合护理模式在脊柱骨折伴脊髓损伤患者术后防治静脉血栓形成上具有明显的预防作用，可推广运用于临床研究。

Abstract

Objective: This project aims to study the preventive effect of comprehensive nursing by observing the causes of postoperative inferior venous thrombosis in patients with spinal fractures and spinal cord injury.
Methods A total of 100 patients with spinal fractures with spinal cord injury who were admitted to our hospital from June 2019 to June 2021 were selected and divided into experimental group and routine group according to the order of admission. The routine group received routine nursing measures, and the experimental group received comprehensive Nursing intervention. The color Doppler ultrasonography of the lower extremity blood vessels was re-examined 3 days after operation, and the coagulation indexes were re-examined 7 days after operation. By comparing the thrombin reduction time, partially activated thrombin time, D-dimer, and fibrinogen levels and other indexes of the two groups of patients, and using the relevant data As a reflection of the research value, it will be elaborated.
Results The incidences of DVT and pulmonary embolism in the experimental group were significantly lower than those in the conventional group (P<0.05). The thrombin reduction time, partially activated thrombin time, D-dimer, fibrinogen level and other indexes of the experimental group were all significantly superior, and the data of the two groups were compared with statistical significance P<0.5.
Conclusion   The comprehensive nursing model has obvious preventive effect on the prevention and treatment of venous thrombosis in patients with spinal fracture and spinal cord injury after operation, which can be promoted and applied in clinical research.