下肢骨折患者康复护理对预防深静脉血栓的疗效分析

Analysis of the Efficacy of Rehabilitation Care for Lower Extremity Fracture Patients on the Prevention of Deep Vein Thrombosis

摘要: 目的：本研究旨在探讨康复护理对骨折后下肢深静脉血栓形成的预防作用及其对患者生活质量的影响。方法：将100例下肢骨折患者随机分为研究组和对照组各50例。对照组患者术后接受常规护理，研究组患者在术后当天接受康复护理干预。术后3个月复查。比较两组患者的下肢深静脉血栓(LDVT)并发症发生率、血液流变学、生活质量(SF-36)评分、凝血指标及护理满意度。结果：干预后研究组患者出现下肢深静脉血栓形成，血液流变学指标高于对照组(P < 0.05)。两组SF-36总分均有不同程度的提高，但研究组SF-36总分的增加更为显著(P < 0.001)。研究组患者对护理服务的满意度高于对照组(P = 0.004)。结论：对于接受通过标准化康复护理进行深静脉血栓治疗等下肢骨折手术的患者，通过规范的康复护理，可以有效调整凝血指标，减少术后并发症的发生，从而改善患者的生活质量和护理条件。

Abstract: Objective: This study aims to investigate the preventive effect of rehabilitation care on lower limb deep vein thrombosis after fracture and its impact on patient quality of life. Methods: One hundred patients with lower extremity fractures were randomly divided into 50 each in the study and control group. Patients in the control group receive routine care after surgery, and patients in the study group receive rehabilitation care intervention on the postoperative day. They were reviewed at 3 months after surgery. The incidence of deep venous thrombosis (LDVT) complications, hemorrheology, quality of life (SF-36) scores, coagulation index and care satisfaction were compared between the two groups. Results: After the intervention, the patients developed deep vein thrombosis, which was higher than the control group (P < 0.05). The total score of SF-36 increased differently in both groups, but the increase in SF-36 was more significant in the study group (P < 0.001). Patients in the study group were more satisfied with the care services than those in the control group (P = 0.004). Conclusion: For patients undergoing lower limb fracture surgery such as deep vein thrombosis treatment through standardized rehabilitation care, coagulation indicators can be effectively adjusted to reduce the occurrence of postoperative complications, thus improving the quality of life and nursing conditions of patients.