Risk factors and nursing strategies for postoperative deep vein thrombosis in patients with malignant tumors undergoing liver, gallbladder, and pancreatic surgery
肝胆胰外科恶性肿瘤手术患者术后下肢深静脉血栓形成危险因素及其护理对策

摘要

目的 探讨肝胆胰外科恶性肿瘤手术患者术后下肢深静脉血栓形成危险因素及其护理对策。方法 选择我院于2023年1月-2023年12月收治的肝胆胰外科恶性肿瘤手术患者100例，将其按随机分组方法分为对照组和观察组，对照组和观察组各50例，其中对照组采取常规护理方法，观察组采取预防性护理方法，分析术后下肢深静脉血栓形成危险因素。对两组的临床护理效果，如患者生活质量评分、患者下肢深静脉血栓形成的概率及预防有效率进行收集和分析。结果 两组在护理后均取得一定效果，但观察组患者的生活质量评分高于对照组患者。同时观察组患者下肢深静脉血栓形成的概率及预防有效率均优于对照组患者，差异均有统计学意义（P＜0.05）。结论 在对肝胆胰外科恶性肿瘤手术患者实施预防性护理可取得明显的效果，显著提高患者生活质量，降低患者下肢深静脉血栓形成率。有较高应用价值。

Abstract

Objective To investigate the risk factors and nursing countermeasures of postoperative deep vein thrombosis in patients with malignant tumors in hepatobiliary and pancreatic surgery.
Methods 100 patients with malignant tumor in hepatobiliary and pancreatic surgery admitted to our hospital from January 2023 to December 2023 were randomly divided into control group and observation group, with 50 cases in each group. The control group took routine nursing, and the observation group took preventive nursing. The risk factors of postoperative deep venous thrombosis were analyzed. The clinical nursing effects of the two groups were collected and analyzed, such as the quality of life score, the probability of deep venous thrombosis of the lower limbs and the prevention rate.
Results Both groups achieved some effect after nursing, but the quality of life score of the observation group was higher than that of the control group. At the same time, the probability and prevention effectiveness of lower extremity deep vein thrombosis in observation group were better than those in control group, and the differences were statistically significant (P < 0.05).
Conclusion   Preventive nursing for patients with malignant tumors in hepatobiliary and pancreatic surgery can achieve obvious results, significantly improve the quality of life of patients, and reduce the rate of deep venous thrombosis of lower limbs. It has high application value.