摘要
目的 探究预见性护理在脊柱骨科术后患者深静脉血栓（DVT）形成中的应用效果。方法 选取 2025 年 1 月至 2025 年 6 月在我县县级医院接受脊柱骨科手术的患者 30 例，年龄以 60-70 岁居多，随机分为对照组和实验组，各 15 例。对照组采用常规护理，实验组在常规护理基础上实施预见性护理。比较两组患者深静脉血栓的发生率、下肢肿胀程度及护理满意度。结果 实验组深静脉血栓发生率低于对照组，下肢肿胀程度轻于对照组，护理满意度高于对照组，差异均有统计学意义（P<0.05）。结论 对脊柱骨科术后患者实施预见性护理，可有效降低深静脉血栓的发生率，减轻下肢肿胀程度，提高护理满意度，适合在县级医院推广应用。
关键词： 预见性护理；脊柱骨科手术；深静脉血栓；应用效果
Abstract
Objective To explore the application effect of anticipatory nursing in the formation of deep vein thrombosis (DVT) in patients after spinal orthopedic surgery. Methods Thirty patients, mostly aged 60-70, who underwent spinal orthopedic surgery at county-level hospitals in our county from January 2025 to June 2025, were randomly divided into a control group and an experimental group, with 15 patients in each group. The control group received routine care, while the experimental group received anticipatory care on the basis of routine care. Compare the incidence of deep vein thrombosis, degree of lower limb swelling, and nursing satisfaction between two groups of patients. Results The incidence of deep vein thrombosis in the experimental group was lower than that in the control group, and the degree of lower limb swelling was milder than that in the control group. The nursing satisfaction was higher than that in the control group, and the differences were statistically significant (P<0.05). Conclusion Proactive nursing for postoperative patients in spinal orthopedics can effectively reduce the incidence of deep vein thrombosis, alleviate lower limb swelling, improve nursing satisfaction, and is suitable for promotion and application in county-level hospitals.
Key words： Predictive care; Spinal orthopedic surgery; Deep vein thrombosis; Application effect
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