Analysis of the application effect of the integrated medical-health model thrombosis warning system in the prevention of lower limb deep vein thrombosis (DVT) in orthopedic patients
基于医护一体化模式血栓预警系统在骨科患者下肢深静脉血栓预防中的应用效果分析

摘要

目的 评估医护一体化血栓预警体系在骨科下肢深静脉血栓（DVT）防治中的临床应用价值。方法选取2025年全年我院骨科收治的204例患者，随机分为两组（各102例）。对照组行常规护理，观察组实施医护一体化预警管理，组建多学科团队，依托Caprini评分进行动态风险评估与个体化干预。对比两组凝血功能、DVT发生率及护理满意度。结果 干预后，观察组D-二聚体、纤维蛋白原水平低于对照组，凝血酶原时间（PT）、活化部分凝血活酶时间（APTT）指标延长（P<0.05）；且出血量少、下床早、评估与预防落实率达100%。同时，观察组DVT发生率显著降低，护理满意度更高（P<0.05）。结论 该模式能有效改善患者高凝状态，降低血栓风险，提升护理质量与患者满意度。

Abstract

Objective To evaluate the clinical application value of the integrated medical-health thrombosis warning system in the prevention and treatment of lower limb deep vein thrombosis (DVT) in orthopedic patients.
Methods 204 patients admitted to the orthopedic department of our hospital throughout 2025 were selected and randomly divided into two groups (102 cases each). The control group received routine care, while the observation group implemented integrated medical-health warning management, formed a multidisciplinary team, and conducted dynamic risk assessment and individualized intervention based on the Caprini score. The coagulation function, DVT incidence rate, and nursing satisfaction were compared between the two groups.
Results After intervention, the levels of D-dimer and fibrinogen in the observation group were lower than those in the control group, and the Prothrombin Time (PT), Activated Partial Thromboplastin Time (APTT) indicators were prolonged (P<0.05); and the amount of bleeding was less, getting out of bed earlier, and the implementation rate of assessment and prevention reached 100%. At the same time, the incidence of DVT in the observation group was significantly reduced, and the nursing satisfaction was higher (P<0.05).
Conclusion   This model can effectively improve the high coagulation state of patients, reduce the risk of thrombosis, and improve the quality of nursing and patient satisfaction.