机械预防与弹力袜护理干预在预防脑卒中患者深静脉血栓形成中的效果比较

李春娟1，辛颖2

（1.西安市第五医院护理部，陕西 西安，710082；2.西安市红会医院内一科，陕西 西安，710054）

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摘要：

目的 比较机械预防与弹力袜护理干预在脑卒中深静脉血栓（deep venous thrombosis, DVT）形成高危患者中的应用效 果。方法 选取我院收治的220 例脑卒中高危深静脉血栓形成患者，随机分为3 组，A 组72 例采用机械预防并进行常规护理 干预；B 组78 例穿戴弹力袜并进行常规护理；C 组70 例仅给于常规护理。患者出院后1 个月行彩超检查检测各组DVT 发生 率。结果 A、B、C 三组DVT 发生率分别为8.33%（6/72）、20.51%（14/78）、34.29%（24/70），A、B 组DVT 发生率显著低于C 组（P<0.05），A组低于B组，但差异无统计学意义（P>0.05）。结论 机械预防护理与弹力袜护理干预均可显著降低脑卒中高危患 者DVT 发生率，两者效果均比常规护理显著，具有简便易行、费用低廉的优点，值得临床推广。

关键词：脑卒中；深静脉血栓形成；机械预防；弹力袜护理

中图分类号：R473.74文献标志码：A文章编号：2096-1413(2017)35-0144-02

Effects comparison of mechanical prevention and elastic stockings nursing intervention on the prevention

of deep venous thrombosis in stroke patients
LI Chun-juan 1, XIN Ying 2
(1. Nursing Department, the Fifth Hospital of Xi``an, Xi``an 710082; 2. the First Internal Medicine Department,
Xi``an Honghui Hospital, Xi``an 710054, China)

ABSTRACT: Objective To compare the effect of mechanical prevention and elastic stockings nursing intervention on the prevention of deep venous thrombosis (DVT) in stroke patients. Methods A total of 220 patients with stroke and high-risk of DVT admitted in our hospital were randomly divided into 3 groups, 72 patients in group A were treated with mechanical prevention and routine nursing intervention, 78 patients in group B were given elastic stockings nursing intervention and routine nursing; 70 cases in group C were treated with conventional nursing. One month after discharge, patients were treated with color Doppler ultrasound examination, and the incidences of DVT in each group were detected. Results The incidences of DVT in group A, B and C were 8.33% (6/72), 20.51% (14/78) and 34.29% (24/70) respectively. The incidences of DVT in the group A and the group B were significantly lower than that in the group C (P<0.05), while that of the group A was lower than the group B, but the difference was not statistically significant (P>0.05). Conclusion Mechanical prevention and elastic stockings nursing intervention can both significantly reduce the incidence of DVT in stroke patients. The effects of the two methods are better than the single routine nursing, which have the advantages of easy operation and low cost, which is worthy of clinical promotion.
KEYWORDS: stroke; deep venous thrombosis; mechanical prevention; elastic stockings nursing intervention

参考文献：
[1] 万圣云,徐周纬,潘升权,等.下肢深静脉血栓形成的病因及诊断的 研究进展[J].当代医学,2009,15(34):25-27.
[2] 孙姬,吴丹红,周红.脑卒中并发下肢深静脉血栓形成的研究进展 [J].医学综述,2015,21(1):63-65.
[3] 唐瑶.脑卒中并发下肢深静脉血栓形成护理总结[J].实用中医药杂 志,2016,32(11):1140-1141.
[4] 郭敏.下肢深静脉血栓形成患者使用医用弹力袜的护理[J].中国医药指南,2012,10(21):647-648.
[5] 谭锦风,刘媛,刘瑜,等.机械预防护理干预在高风险深静脉血栓形成患者中的应用效果[J].实用临床医学,2016,17(10):77-79.
[6] 周小燕.Autar 量表在脑卒中患者下肢深静脉血栓形成风险评估中的应用[J].护士进修杂志,2015,30(21):2000-2001.
[7] 苏莉莉,袁越,田敏,等.静脉血栓栓塞症临床预防的研究进展[J].中 国护理管理,2016,16(8):1123-1126.
[8] 张劲松,李琳.老年人静脉血栓栓塞症的流行病学[J].实用老年医 学,2013,28(10):806-809.
[9] WOLFE TR,ALLEN TL.Syncope as an emergency department presentation of pulmonary embolism[J].J Emerg Med,1998,16(1):27-31.
[10] 吴丹辰,贾镭,徐希奇,等.新型口服抗凝药物预防及治疗静脉血栓 栓塞症研究进展[J].中华关节外科杂志:电子版,2013,7(3):99-102.
[11] 刘月斌,宫可同,周利申,等.中药预防关节置换术后下肢深静脉血 栓的Meta 分析[J].内蒙古中医药,2017,36(1):110-111.