Cancer Hospital Affiliated to Harbin Medical University, Heilongjiang, Harbin 150000, China.
Contrast Media Mol Imaging. 2021 Nov 30;2021:8223941. doi: 10.1155/2021/8223941. eCollection 2021.
The objective is to explore the application effect of comprehensive nursing intervention in prevention of lower extremity deep vein thrombosis and pulmonary embolism in urological patients undergoing laparoscopic and robot-assisted laparoscopic surgery. From April 2019 to April 2020, 200 patients who received urological laparoscopic surgery and robot-assisted laparoscopic surgery were selected. According to the random number table method, they were divided into control group and observation group, 100 cases in control group and 100 cases in observation group. Patients in control group received routine nursing, while patients in observation group received comprehensive nursing intervention. The skin condition, swelling, pain, and occurrence of deep venous thrombosis and pulmonary embolism of lower extremities in 2 groups were observed. The experimental results showed that the lower limb swelling, lower limb pain, and lower limb deep vein thrombosis in the control group were significantly higher than those in the observation group, but all patients were cured and discharged after taking effective symptomatic treatment and nursing measures in time. In the control group, pulmonary embolism occurred in 3 patients, all of whom died. There was no significant difference in skin changes of lower limbs ( > 0.05), and there were significant differences in other skin changes ( < 0.05). It proved that comprehensive nursing intervention can effectively prevent the formation of lower extremity deep vein thrombosis and pulmonary embolism in urological patients undergoing laparoscopic and robot-assisted laparoscopic surgery with high-risk factors.
探讨综合护理干预在预防泌尿外科腹腔镜及机器人辅助腹腔镜手术患者下肢深静脉血栓及肺栓塞中的应用效果。方法：选取 2019 年 4 月至 2020 年 4 月行泌尿外科腹腔镜及机器人辅助腹腔镜手术的 200 例患者，按随机数字表法分为对照组和观察组，每组 100 例。对照组给予常规护理，观察组给予综合护理干预。观察两组患者的皮肤状况、肿胀、疼痛、下肢深静脉血栓及肺栓塞发生情况。结果：对照组下肢肿胀、下肢疼痛、下肢深静脉血栓发生率明显高于观察组，但所有患者经及时有效的对症治疗和护理措施后均治愈出院。对照组 3 例发生肺栓塞，均死亡。两组患者下肢皮肤变化比较差异无统计学意义（>0.05），其他皮肤变化比较差异有统计学意义（<0.05）。结论：综合护理干预可有效预防有高危因素的泌尿外科腹腔镜及机器人辅助腹腔镜手术患者下肢深静脉血栓及肺栓塞的形成。
