基于Caprini 风险评估的信息化平台在髋关节骨折患者中的应用效果及对术后深静脉血栓的影响

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Abstract

Objective To explore the application effect of information platform based on Caprini risk assessment in patients with hip fracture and its influence on postoperative deep vein thrombosis.Methods A total of 120 patients with hip fracture admitted to the Second Affiliated Hospital of Nanchang University from January 2020 to January 2023 were selected as the study objects and they were divided into two groups using random number table method.Patients in the control group (60 cases)were given routine nursing measures,while patients in the observation group (60 cases)were given nursing measures based on the information platform and their own conditions after Caprini risk assessment classification.Relevant data of patients in both groups were collected from 1 day before intervention to 4 weeks after intervention.The Harris hip score(HHS),Barthel index (BI),white blood cell (WBC),procalcitonin (PCT),C-reactive protein (CRP),platelet (PLT),activated partial thromboplastin time(APTT),thrombin time(TT),D-dimer(D-D),patient satisfaction score,incidence of deep vein thrombosis and maximum width of thrombus in patients with deep vein thrombosis were compared between the two groups.Results After intervention,the satisfaction and postoperative recovery index (HHS,BI) of patients in observation group were higher than those in control group,the differences were statistically significant (P＜0.05).The inflammation index (WBC,PCT,CRP),the incidence of deep vein thrombosis,and the maximum width of thrombus in patients with deep vein thrombosis in observation group were lower than those in control group,with statistical significances (P＜0.05).After intervention,PLT,APTT,D-D in observation group were higher than those in control group,and TT was lower than those in control group,with statistical significances (P＜0.05).Conclusion The nursing measures constructed by the information platform based on Caprini risk assessment have good effects on the postoperative recovery of patients with hip fracture and the prevention of deep vein thrombosis.

Key words： Caprini risk assessment Hip fracture Deep vein thrombosis Prophylaxis

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[1]	侯勇，李经坤，司萌，等.PFNA 治疗老年股骨粗隆间骨折临床疗效分析[J].创伤外科杂志，2017，19（3）：164-168.
[2]	Herndon CL，Nowell JA，Sarpong NO，et al.Risk Factors for Periprosthetic Femur Fracture and Influence of Femoral Fixation Using the Mini-Anterolateral Approach in Primary Total Hip Arthroplasty[J].J Arthroplasty，2020，35（3）：774-778.
[3]	Van Heghe A，Mordant G，Dupont J，et al.Effects of Orthogeriatric Care Models on Outcomes of Hip Fracture Patients：A Systematic Review and Meta-Analysis[J].Calcif Tissue Int，2022，110（2）：162-184.
[4]	Speed V，Patel JP，Roberts LN，et al.UK real-world experience of prescribing rivaroxaban for acute venous thromboembolism in obesity:Resultsfrom the FIRST Registry[J].Thromb Res，2021，197：16-19.
[5]	金艳艳，徐秀萍，王春英，等.静脉血栓栓塞症防控信息化平台的构建与应用[J].中国护理管理，2022，22（11）：1696-1700.
[6]	张长青，张英泽，余斌，等.成人股骨颈骨折诊治指南[J].中华创伤骨科杂志，2018，20（11）：921-928.
[7]	中国医师协会骨科医师分会显微修复工作委员会，中国修复重建外科专业委员会骨缺损及骨坏死学组，中华医学会骨科分会显微修复学组.成人股骨头坏死临床诊疗指南（2016）[J].中华骨科杂志，2016，36（15）：945-954.
[8]	杨碧花，彭怡芳.风险评估联合快速周转干预对老年髋部骨折患者术后康复及下肢深静脉血栓发生情况的影响[J].基层医学论坛，2023，27（21）：88-90.
[9]	Zuh SG，Nagy O，Ancuta Z，et al.Correlations between the harris hip score and the visual analogue scale in the assessment of total hip replacement in hip dysplasia[J].ARS Med Tomitana，2014，1（76）：6-13.
[10]	候东哲，张颖，巫嘉陵，等.中文版Barthel 指数的信度与效度研究[J].临床荟萃，2012，27（3）：219-221.
[11]	冯苗，杨森，胡晓晨.预见性护理联合术后康复训练对老年髋关节置换术病人下肢深静脉血栓的预防作用[J].全科护理，2023，21（16）：2226-2229.
[12]	刘劲燕，郭璐.静脉血栓栓塞症的发病机制及早期诊断标志物的研究进展[J].实用医院临床杂志，2019，16（3）：266-269.
[13]	Xu L，Fu C，Zhang Q，et al.The effectiveness of exercise training in treating venous thromboembolism: a systematic review[J].Phys Sportsmed，2021，49（1）：1-11.
[14]	杨旦，魏绘梦.基于血栓风险评估指导的针对性护理对子宫全切术患者深静脉血栓的预防作用[J].山西医药杂志，2023，52（14）：1115-1119.
[15]	吴梦鸽，徐健，吴长帅，等.术中持续泵注右美托咪定对全麻手术患者围术期应激、炎症的影响：Meta 分析[J].现代肿瘤医学，2021，29（2）：315-322.
[16]	杨静，王峰，王植荣，等.芪箭消栓通组方联合导管溶栓治疗老年急性中央型下肢深静脉血栓（气虚血瘀型）的临床疗效观察[J].安徽医药，2022，26（11）：2318-2322.
[17]	吕彦辉，陈建华，张丽，等.降钙素原与维持性血液透析患者自体动静脉内瘘并发症的关系研究[J].天津医药，2022，50（4）：413-417.
[18]	顾云霄，丁明，张嘉骏.利伐沙班对髋膝关节置换术患者术后深静脉血栓的预防效果分析[J].现代医学与健康研究电子杂志，2023，7（11）：58-60.
[19]	李臻，李贞，陈伟琴，等.血浆纤溶标志物在原发性膜性肾病疾病进展中的变化[J].检验医学，2020，35（1）：25-28.
[20]	连丽霞，张佩兰，罗玉福，等.比较静脉溶栓与双抗治疗脑梗死后PLT、凝血指标、D-二聚体变化[J].中风与神经疾病杂志，2017，34（1）：56-58.
[21]	温志震，米登海，任维维，等.恶性肿瘤继发血栓患者凝血功能指标的变化[J].中国老年学杂志，2015，35（20）：5936-5937.
[22]	林玲，吕静.基于Caprini 风险评估的快速康复外科对胸腔镜肺癌切除术后患者围手术期高凝状态及静脉血栓栓塞症的预防作用[J].实用医院临床杂志，2022，19（5）：6-9.