文章摘要

下肢骨折术后预防深静脉血栓干预中构建专职分层小组的效果

作者: 1徐娜, 1顾军
1 无锡市锡山人民医院骨科,江苏 无锡 214000
通讯: 顾军 Email: mp1688@126.com
DOI: 10.3978/j.issn.2095-6959.2022.04.025
基金: 无锡市卫生计生委科研项目 (Z201702)。

摘要

目的:探究在下肢骨折术后预防深静脉血栓干预中构建专职分层小组的效果。方法:采用前瞻性临床研究,选取无锡市锡山人民医院2020年5月至2021年5月收治的患者106例,随机分为实验组与对照组,各53例。对比两组下肢深静脉血栓发生率、凝血指标、负性情绪评分、日常生活能力量表(Activity of Daily Living Scale,ADL)、特种外科医院膝关节评分量表(Hospital for Special Surgery Knee Score,HSS)评分、Harris评分及并发症发生率情况。结果:实验组干预后活化部分凝血活酶时间(activated partial thromboplastin time,APTT)、抗凝血酶(antithrombin,AT)、血浆凝血酶原时间(prothrombin time,PT)及凝血酶时间(thrombin time,TT)水平均高于对照组,实验组血浆D-二聚体(D-dimer,D-D)、血浆纤维蛋白原(plasma fibrinogen,Fbg)水平均低于对照组(P<0.05);实验组干预后汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)评分均低于对照组(P<0.05);实验组干预后ADL、HSS及Harris评分均高于对照组(P<0.05);实验组术后总并发症发生率低于对照组(P<0.05)。结论:在下肢骨折术后预防深静脉血栓干预中构建专职分层干预小组可改善凝血功能及膝髋关节功能,提高日常生活能力,从而缓解负性情绪。
关键词: 下肢骨折;深静脉血栓;专职分层小组;凝血功能;负性情绪;膝关节

Effect of constructing a full-time stratified group in the intervention of preventing deep venous thrombosis after lower limb fracture operation

Authors: 1XU Na, 1GU Jun
1 Department of Orthopedics, Xishan People’s Hospital of Wuxi City, Wuxi Jiangsu 214000, China

CorrespondingAuthor: GU Jun Email: mp1688@126.com

DOI: 10.3978/j.issn.2095-6959.2022.04.025

Foundation: This work was supported by Scientific research project of Wuxi Municipal Health and Family Planning Commission, China (Z201702).

Abstract

Objective: To explore the effect of constructing a full-time stratified group in the prevention and intervention of deep vein thrombosis after lower extremity fracture surgery. Methods: Using prospective clinical studies, A total of 106 patients admitted to Xishan People’s Hospital of Wuxi City from May 2020 to May 2021 were selected and randomly divided into an experience group and a control group, with 53 cases in each group. The incidence of deep vein thrombosis, coagulation index, negative emotion score, Activity of Daily Living Scale (ADL) score, Hospital for Special Surgery Knee Score (HSS) score, Harris score and complication rate were compared between the two groups. Results: The activated partial thromboplastin time (APTT), antithrombin (AT), prothrombin time (PT) and thrombin time (TT) levels of the experience group after intervention were higher than those of the control group, and the D-dimer (D-D) and plasma fibrinogen (Fbg) levels of the experience group were lower than those of the control group (P<0.05); The HAMA and HAMD scores of the experience group after intervention were lower than those of the control group (P<0.05); the ADL, HSS and Harris scores of the experience group were higher than those of the control group after intervention (P<0.05); the total postoperative complication rate of the experience group was lower than that of the control group (P<0.05). Conclusion: The establishment of a full-time stratified group in the prevention and intervention of prevention of deep vein thrombosis after lower extremity fractures can improve blood coagulation function and knee joint function, improve the ability of daily living, thereby alleviating negative emotions.
Keywords: lower limb fractures; deep vein thrombosis; full-time stratified team; coagulation function; negative emotions; knee joint