摘要
探讨4R危机理论指导下的风险管理对骨盆骨折及下肢骨折患者下肢深静脉血栓(deep vein thrombosis,DVT)形成的预防效果。选取2022年1月—2024年1月铜仁市人民医院创伤骨科收治的80例骨盆骨折及下肢骨折患者,采用随机数字表法将患者分为对照组和观察组,每组各40例。对照组采用常规管理,观察组采用4R危机理论指导下的风险管理,比较两组小腿周径、DVT发生率、血液流变学、血小板功能、D二聚体水平。结果显示,两组干预后小腿周径均变短(P<0.05),观察组较对照组更短(P<0.05);观察组DVT发生率较对照组更低(P<0.05);两组干预后全血高切黏度、全血低切黏度、血浆黏度、血小板平均体积、血小板分布宽度、D二聚体水平下降(P<0.05),观察组较对照组更低(P<0.05)。研究发现,4R危机理论指导下的风险管理能够有效预防骨盆骨折及下肢骨折患者出现DVT。
This study aims to explore the preventive effect of risk management guided by the 4R crisis theory on lower extremity deep vein thrombosis(DVT)in patients with pelvic fractures and lower extremity fractures.A total of 80 patients with pelvic fractures and lower extremity fractures admitted to the Department of Trauma Orthopedics,Tongren City People’s Hospital from January 2022 to January 2024 were selected.They were divided into a control group and an observation group using a random number table method,with 40 cases in each group.The control group received routine management,while the observation group adopted risk management guided by the 4R crisis theory.The calf circumference,incidence of DVT,hemorheology,platelet function,and D-dimer level were compared between the two groups.The results showed that after intervention,the calf circumference of both groups was shortened(P<0.05),and the observation group had a shorter calf circumference than the control group(P<0.05).The incidence of DVT in the observation group was lower than that in the control group(P<0.05).After intervention,the levels of whole blood high shear viscosity,whole blood low shear viscosity,plasma viscosity,mean platelet volume,platelet distribution width,and D-dimer in both groups decreased(P<0.05),and the observation group had lower levels than the control group(P<0.05).The study concludes that risk management guided by the 4R crisis theory can effectively prevent DVT in patients with pelvic fractures and lower extremity fractures.
作者
罗亚琴
Luo Yaqin(Department of Trauma Orthopedics,Tongren City People’s Hospital,Tongren,Guizhou 554300)
出处
《科技与健康》
2025年第13期105-108,共4页
Technology and Health
基金
科技支撑计划项目(社会发展)“预见性护理对预防骨盆骨折及下肢骨折患者下肢深静脉血栓形成的影响”(铜市科研[2022]98号)。
关键词
4R危机理论
骨盆骨折
下肢骨折
深静脉血栓
风险管理
4R crisis theory
pelvic fracture
lower extremity fracture
deep vein thrombosis
risk management
作者简介
罗亚琴(1981—),女,铜仁市人民医院创伤骨科副主任护师,研究方向为骨科患者的康复与护理。
