Prevention and nursing of deep venous thrombosis in the lower extremities after total hip arthroplasty
人工全髋关节置换术后下肢深静脉血栓的预防和护理

摘要

目的 分析人工全髋关节置换术后下肢深静脉血栓形成的原因，采取相应的护理措施，积极预防，减少人工全髋关节置换术后下肢深静脉血栓的发生。方法 对我科2023年7月—2024年8月64例人工全髋关节置换术患者进行下肢深静脉血栓的预防护理，进行围术期的功能锻炼，对患有高血压、糖尿病的患者进行预防性的抗凝治疗。结果 术后64例患者均未发生下肢深静脉血栓，情绪状态较术前改善。结论 术前全面评估，确定高危人群，给予个性化护理和围术期功能锻炼，可减少DVT的发生，改善患者的情绪状态。

Abstract

Objective To analyze the causes of deep venous thrombosis (DVT) in the lower extremities after total hip arthroplasty (THA) and adopt corresponding nursing measures to actively prevent and reduce its occurrence.
Methods From July 2023 to August 2024, 64 patients undergoing THA in our department were provided with preventive nursing for DVT in the lower extremities, including perioperative functional exercise and prophylactic anticoagulant therapy for patients with hypertension and diabetes.
Results None of the 64 patients developed DVT in the lower extremities after surgery, and their emotional state scores were higher than those before surgery.
Conclusion   Comprehensive preoperative assessment to identify high-risk patients and provide them with personalized nursing and perioperative functional exercise can reduce the incidence of DVT and improve patients' emotional state.