ICU患者深静脉血栓护理防控研究
Study on Nursing Prevention and Control of Deep Venous Thrombosis in ICU Patients
摘要: 本研究基于循证护理理念,构建精准评估–智能预警–分层干预–全程管理的ICU深静脉血栓(DVT)护理防控体系。通过引入信息化风险评估工具、改良机械预防技术及多模式早期活动方案,探讨适合ICU危重症患者的DVT防控新路径。研究显示,系统化的循证护理干预可使ICU患者DVT发生率降低51.3%,且未增加出血风险,为临床提供了可推广的标准化护理方案。
Abstract: Based on the concept of evidence-based nursing, this study constructed a nursing prevention and control system of ICU deep venous thrombosis (DVT) with precise evaluation-intelligent early warning-stratified intervention-whole process management. Through the introduction of information risk assessment tools, improved mechanical prevention techniques and multi-mode early activity programs, a new path for DVT prevention and control suitable for critically ill patients in ICU was explored. Studies have shown that systematic evidence-based nursing intervention can reduce the incidence of DVT in ICU patients by 51.3% without increasing the risk of bleeding, providing a standardized nursing program that can be promoted in clinical practice.
文章引用:刘婕, 赵丹. ICU患者深静脉血栓护理防控研究[J]. 临床医学进展, 2025, 15(8): 1664-1670. https://doi.org/10.12677/acm.2025.1582411

参考文献

[1] 李慧, 霍欢欢, 张静. 手术室术中预防性护理对股骨骨折患者术后下肢深静脉血栓的预防作用研究[J]. 包头医学, 2025, 49(2): 84-86.
[2] 刘芳, 王小英, 李燕, 等. 不同预测模型在结直肠癌患者术前深静脉血栓发生风险预测中的价值比较[J]. 护士进修杂志, 2025, 40(12): 1297-1304.
[3] 周采枚, 俞琳. 护理质量专案小组对神经外科ICU患者下肢深静脉血栓发生率及护理质量的影响[J]. 现代养生, 2025, 25(12): 936-938.
[4] 徐巧丽, 卓婷莉. 深静脉血栓介入治疗术后患者恐动症现状及影响因素分析[J]. 中国典型病例大全, 2025, 19(2): 773-776.
[5] Diao, Y., Huang, Y., Cui, X., Ma, X., Zhao, H., Chen, M., et al. (2025) Application and Evaluation of Whole-Process Nursing in Venous Thromboembolism Patients. Frontiers in Public Health, 13, Article 1578074. [Google Scholar] [CrossRef] [PubMed]
[6] 陈艳, 江玉婷, 周冬. 基于风险预警护理模式在ICU绝对卧床患者下肢深静脉血栓预防中的应用效果[J]. 现代养生, 2025, 25(11): 857-860.
[7] Potturi, N., Gray, K., Carpentier, S.H., Hamlin, S. and Thompson, J.T. (2025) Utility of Activity Measure for Postacute Care Scoring in Predicting Symptomatic Deep Venous Thromboembolism in Free Tissue Transfer. Annals of Plastic Surgery, 94, S531-S533. [Google Scholar] [CrossRef] [PubMed]
[8] Huang, S., Cui, J., Cao, L., Wang, B., Jia, L., Wang, R., et al. (2025) Predictive Nursing in the Prevention of Lower Extremity Deep Vein Thrombosis in Patients with Severe Trauma. Medicine, 104, e42446. [Google Scholar] [CrossRef] [PubMed]
[9] 杨洋. 急诊科急性缺血性脑卒中患者溶栓后院内发生深静脉血栓预防护理路径的构建与应用[J]. 当代化工, 2025, 54(5): 1262.
[10] 郑慧萍, 张美素, 杨卫琴, 等. 下肢深静脉血栓三主体联动预警体系在全髋关节置换术患者中的应用研究[J]. 全科医学临床与教育, 2025, 23(5): 471-472.
[11] 曹美婷, 朱小秀, 康静. 围手术期护理干预对剖宫产下肢深静脉血栓形成的影响[J]. 医学临床研究, 2025, 42(5): 744-746, 750.
[12] 黄丽. 基于Caprini风险评估的层级护理对剖宫产患者术后深静脉血栓形成的预防效能研究[J]. 基层医学论坛, 2025, 29(14): 114-117.
[13] 胡密. VTE监测和早期护理干预在骨科手术患者预防深静脉血栓中的作用[C]//中国生命关怀协会. 关爱生命大讲堂之生命关怀与智慧康养系列理论研讨会论文集(下)——临床心理关怀与医院人文建设的融合专题. 衡水: 河北省衡水市第五人民医院, 2025: 65-67.
[14] 胡密. 早期护理预防骨科术后长期卧床患者深静脉血栓效果及生活品质影响分析[C]//中国生命关怀协会. 关爱生命大讲堂之生命关怀与智慧康养系列理论研讨会论文集(下)——临床心理关怀与医院人文建设的融合专题. 衡水: 河北省衡水市第五人民医院;2025: 705-707.
[15] 胡密. 护理干预对预防人工髋关节置换术后下肢深静脉血栓形成的作用评价[C]//中国生命关怀协会. 关爱生命大讲堂之生命关怀与智慧康养系列理论研讨会论文集(上)——临床心理关怀与医院人文建设的融合专题. 衡水: 河北省衡水市第五人民医院, 2025: 462-463.
[16] Cherkaoui, M., Al-Attabi, M., Salimi, S., Cherkaoui, B. and Forberg, J.L. (2025) Proximal Venous Ultrasound with Risk Stratification Safely Excludes Deep Venous Thrombosis in Emergency Department Routine Care: An Observational Study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 33, Article No. 85. [Google Scholar] [CrossRef] [PubMed]
[17] Li, W.Z., Vedantham, S., Jaffer, F.A., et al. (2025) Revisiting the Open Vein Hypothesis to Reduce the Postthrombotic Syndrome: Implications for Multidisciplinary Care and Research: A Scientific Statement from the American Heart Association. Circulation, 151, e1051-e1071.
[18] 牛淑英. 基于量化评估的分级康复护理措施对老年股骨颈骨折患者下肢深静脉血栓形成的影响[J]. 中华养生保健, 2025, 43(9): 124-127.
[19] 孙丽霞, 边明. 骨科术后深静脉血栓预防护理对患者康复的影响[C]//重庆市健康促进与健康教育学会全科专委会. 2025精神医学与心理健康系列研讨会论文集. 大连: 大连医科大学附属第二医院钻石湾院区, 2025: 1063-1066.
[20] 李锋锋. 预见性护理联合术后康复训练对老年髋关节置换术患者下肢深静脉血栓形成的预防效果分析[J]. 基层医学论坛, 2025, 29(12): 113-115, 122.