主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
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中国护理管理 ›› 2020, Vol. 20 ›› Issue (7): 1113-1117.doi: 10.3969/j.issn.1672-1756.2020.07.031

• 专科管理 • 上一篇    下一篇

神经重症患者下肢深静脉血栓发生现状及其影响因素分析

刘芳 龚立超 杨亭 张艳   

  1. 首都医科大学宣武医院神经内科重症监护病房,100053 北京市
  • 出版日期:2020-07-15 发布日期:2020-07-15
  • 通讯作者: 张艳,博士,主任医师,神经内科重症监护病房主任,E-mail:zhangylq@sina.com
  • 作者简介:刘芳,本科,主任护师,护士长

Study of lower extremity Deep Vein Thrombosis and its related factors in neurocritical patients

LIU Fang, GONG Lichao, YANG Ting, ZHANG Yan   

  1. Neurology Intensive Care Unit, Xuanwu Hospital Capital Medical University, Beijing, 100053, China
  • Online:2020-07-15 Published:2020-07-15
  • Contact: E-mail:zhangylq@sina.com

摘要: 目的:调查神经重症患者下肢深静脉血栓(DVT)现状,并分析其影响因素。方法:收集223例神经重症患者的临床资料,采用Logistic回归分析患者发生下肢DVT的危险因素。结果:单因素分析显示≥60岁、长期卧床、D-二聚体增高、左下肢肌力≤3级、GCS评分低、下肢深静脉导管置入是神经重症患者下肢DVT发生的相关因素(P<0.05);Logistic回归分析显示≥60岁、长期卧床、D-二聚体增高是患者下肢DVT发生的危险因素。结论:应重点防控60岁及以上、长期卧床、D-二聚体增高的神经重症患者发生下肢DVT,尽早完善下肢DVT防控的护理策略。

关键词: 神经重症患者;下肢静脉血栓;相关因素;分析

Abstract: Objective: To explore the status of lower extremity Deep Vein Thrombosis (DVT) and its related factors in neurocritical patients. Methods: The related clinical data of 223 neurocritical patients were collected, and Logistic regression was used to analyze the risk factors of DVT. Results: Univariate analysis showed that age over 60 years, stay in bed for a long time, higher D-dimer, left leg muscle strength level with 3 or less, lower GCS score, central venous catheter placement were related factors (P<0.05) with DVT in lower extremity in neurocritical patients. The Logistic regression analysis showed that age over 60 years, stay in bed for a long time and higher D-dimer were independent risk factors with DVT. Conclusion: Those with the age over 60 years, in bed for a long time and with higher D-dimer were the focus of prevention and control of DVT in neurocritical patients, and the related nursing strategies are needed in the future.

Key words: neurocritical patients; lower extremity Deep Vein Thrombosis; related factors; analysis

中图分类号: 

  • R47