宫颈癌合并小腿肌间静脉血栓的预防护理分析

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摘要目的研究宫颈癌合并下肢肌间静脉血栓患者手术期护理干预的临床效果。方法选取2017年5月—2020年3月在福建省妇幼保健院手术治疗的172 例宫颈癌患者作为研究对象，按照患者入院顺序将其分为对照组（n=129）和观察组（n=43）。患者均采取宫颈锥形切除术治疗，对照组采取常规护理措施，观察组在常规护理的基础上术前行预防护理措施，比较两组的并发症总发生率、护理满意度、舒适度评分、骨骼肌肉功能评估量表评分及生活质量评分。结果观察组的并发症总发生率低于对照组，差异有统计学意义（P＜0.05）；观察组的护理总满意度及舒适度评分高于对照组，差异均有统计学意义（P＜0.05）。干预前，两组的上肢、下肢骨骼肌肉功能评估量表评分比较，差异无统计学意义（P＞0.05）；干预后，观察组的上肢、下肢骨骼肌肉功能评估量表评分高于对照组，差异有统计学意义（P＞0.05）。观察组的生理、心理、社会关系、环境等维度生活质量评分高于对照组，差异有统计学意义（P＞0.05）。结论宫颈癌合并小腿肌间静脉血栓经合理术前评估，围术期预防血栓护理配合，可很好的预防血栓导致并发症。

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关键词 ：宫颈癌, 小腿肌间静脉血栓, 血栓评分, 临床护理

Abstract：Objective To explore the clinical effect of nursing intervention during surgery for patients with cervical cancer complicated with intermuscular venous thrombosis of calf.Methods A total of 172 patients with cervical cancer who underwent surgery at the Fujian Maternity and Child Health Hospital from May 2017 to March 2020 were selected as research subjects.These patients were divided into the control group (n=129) and the observation group (n=43) according to the order of admission.All selected patients were treated with cervical conization.The control group took conventional nursing measures, while the observation group adopted preventive nursing measures before surgery besides conventional nursing.The total incidence of complications, nursing satisfaction, comfort score, skeletal and short musculoskeletal function assessments (SMFA) score and quality of life score between the two groups were compared.Results The total incidence of complications in the observation group was lower than that in the control group, with statistical difference (P＜0.05).The total nursing satisfaction and comfort scores of the observation group were higher than those in the control group, with statistical differences (P＜0.05).Before the intervention, there were no significant difference in the scores of the upper and lower extremity SMFA between the two groups (P＞0.05).After the intervention, the upper and lower extremity SMFA scores of the observation group were higher than those of the control group, with statistical differences (P＜0.05).Quality of life scores in the dimensions of physiology, psychology, social relations, and environment of the observation group were higher than those the control group, with statistical differences (P＜0.05).Conclusion Cervical cancer combined with intermuscular venous thrombosis of the calf, through reasonable preoperative evaluation, perioperative thrombosis prevention and other nursing measures, can well prevent the complications caused by thrombosis.

Key words： Cervical cancer Intermuscular vein thrombosis of the calf Thrombosis score Clinical nursing

收稿日期: 2021-01-28

作者简介: 薛云琴（1983-），女，汉族，福建福州人，研究方向：妇产科护理

引用本文:

薛云琴；念金霞；李桢鸣；郑伟熙；陈喜萍. 宫颈癌合并小腿肌间静脉血栓的预防护理分析[J]. 中国当代医药, 2021, 28(20): 270-273.
XUE Yun-qin NIAN Jin-xia LI Zhen-ming ZHENG Wei-xi CHEN Xi-ping. Analysis of preventive nursing of cervical cancer complicated with intermuscular vein thrombosis of calf. 中国当代医药, 2021, 28(20): 270-273.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I20/270

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