摘要
目的探讨基于Caprini量表下肢深静脉血栓(DVT)风险评估的程序化干预对脑卒中术后患者深静脉血栓形成的影响。方法选取天津医科大学总医院2019年10月至2021年5月收治的脑卒中术后患者60例为研究对象,按随机数字表法分为对照、观察组,各30例。对照组接受常规护理干预联合一般DVT预防措施,观察组在对照组基础上使用Caprini评估量表进行DVT风险分级,两组均干预至出院。比较干预前后两组患者功能(神经、肢体)、日常生活能力、患侧下肢静脉血流动力学水平、干预期间下肢肿胀、皮肤颜色改变、DVT发生情况及干预后满意度。结果与干预前比较,干预后两组NIHSS评分均降低,且观察组低于对照组,两组FMA-L、BI评分均升高,且观察组高于对照组(P<0.05);干预后观察组峰流速、平均血流速度、平均血流量与干预前比均升高,且与对照组相比,观察组处于更高水平(P<0.05);干预期间,观察组相较于对照组,下肢肿胀、皮肤颜色改变、DVT发生率处于更低水平(P<0.05);干预后,观察组总满意度高于对照组(P<0.05)。结论脑卒中术后患者应用Caprini量表DVT风险评估的程序化干预可有效改善神经功能,提高下肢运动功能、生活质量及护理满意度,促进下肢血液循环,降低DVT发生风险。
Objective To investigate the effect of programmed intervention based on DVT risk assessment of the Caprini scale on deep vein thrombosis in patients after stroke.Methods 6Sixty post-stroke patients admitted to Tianjin Medical University General Hospital from October 2019 to May 2021 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 30 cases in each group.The control group received routine care intervention combined with general DVT prophylaxis,the observation group performed DVT risk grading using the Caprini assessment scale on a control basis,and both groups intervened until discharge.Before and after the intervention,the function(nerve,limb),daily living ability,venous blood flow mechanics level of the affected lower limbs of the lower limb,lower limb swelling during the intervention,skin color change,DVT occurrence and post-intervention satisfaction were compared.Results pre-intervention,lower NIHSS scores after intervention,lower than control,higher FMA-L and BI scores(P<0.05).After intervention,peak flow rate,mean flow rate and pre-intervention ratio(P<0.05);during the intervention,lower limb swelling,skin color change,incidence of DVT(P<0.05)after intervention,total satisfaction was higher after the intervention(P<0.05).Conclusion Programmed intervention of Caprini scale for DVT risk assessment after stroke patients can effectively improve neural function,improve lower limb motor function,quality of life and nursing satisfaction,promote lower limb blood circulation,and reduce the risk of DVT.
作者
贾晓丹
JIA Xiaodan(Tianjin Medical University General Hospital,Tianjin 300052,China)
出处
《中国全科医学》
北大核心
2023年第S01期55-57,共3页
Chinese General Practice
