Perioperative nursing experience of patients with acute deep venous thrombosis of lower extremities complicated by pulmonary embolism treated with intravascular intervention
急性下肢深静脉血栓形成并发肺栓塞患者血管腔内介入治疗围手术期的护理体会

摘要

目的 探讨急性下肢深静脉血栓形成并发肺栓塞患者血管腔内介入治疗围手术期的护理体会。方法选取2024年10月至2025年3月于我院接受血管腔内介入治疗的52例急性下肢深静脉血栓形成并发肺栓塞患者，采用随机数字表法分为两组，对照组给予常规护理，实验组在常规护理基础上实施全面、系统的围手术期护理干预。对比两组并发症发生率及凝血功能指标（D-二聚体、纤维蛋白原）和心理状态。结果 实验组并发症发生率、D-二聚体、纤维蛋白原水平及SAS、SDS评分均低于对照组（p＜0.05）。结论 全面、系统的围手术期护理干预应用于急性下肢深静脉血栓形成并发肺栓塞患者血管腔内介入治疗中，可缩短术前准备时间和住院时间，降低术后并发症发生率，值得推广。

Abstract

Objective To explore the perioperative nursing experience of endovascular intervention in patients with acute deep venous thrombosis and pulmonary embolism.
Methods 52 patients with acute deep vein thrombosis and pulmonary embolism from October 2024 to March 2025 were divided into two groups by random number table method. The control group was given routine care, and the experimental group implemented comprehensive and systematic perioperative nursing intervention on the basis of routine care. The incidence of complications and coagulation function indicators (D-dimer, fibrinogen) and psychological status were compared between the two groups.
Results The complication rate, D-dimer, fibrinogen level and SAS and SDS scores were lower than the control group (p <0.05).
Conclusion   Comprehensive and systematic perioperative nursing intervention should be used in patients with acute lower extremity deep vein thrombosis complicated with pulmonary embolism, which can shorten the preoperative preparation time and hospital time and reduce the incidence of postoperative complications, which is worth popularizing.