Study on the effect of layered nursing intervention for deep vein thrombosis in the lower extremities after hip replacement surgery
髋关节置换术后下肢深静脉血栓分层护理干预效果研究

摘要

目的 探究髋关节置换术后下肢深静脉血栓分层护理干预效果。方法 选取2025年1月至2025年12月期间，院内髋关节置换术后患者共80例，作为此次研究对象。通过随机数字表法，将80例患者随机分为对照组与观察组。对照组采用常规护理，观察组采用分层护理。对比两组下肢深静脉血栓发生率，下肢静脉血流状态及生活质量。结果 护理前：两组腘静脉、胫后静脉及股静脉血流速度及SF-36评分对比，P＞0.05。护理后：观察组下肢深静脉血栓发生率低于对照组，P＜0.05。观察组的腘静脉、胫后静脉及股静脉血流流速均高于对照组，P＜0.05。观察组SF-36评分高于对照组，P＜0.05。结论 分层护理可显著改善患者下肢深静脉血栓发生率，下肢静脉血流状态及生活质量，值得推广与应用。

Abstract

Objective To explore the effect of stratified nursing intervention on deep vein thrombosis after hip joint replacement through retrospective analysis.
Methods A total of 80 patients who underwent hip replacement surgery within the hospital from January 2025 to December 2025 were selected as the study subjects. Using the random number table method, the 80 patients were randomly divided into a control group and an observation group. The control group received routine nursing care, while the observation group received stratified nursing care. The incidence of deep vein thrombosis, venous blood flow status, and quality of life were compared between the two groups.
Results Before nursing: There was no significant difference in the blood flow velocity of the popliteal vein, posterior tibial vein, and femoral vein or SF-36 scores between the two groups (P > 0.05). After nursing: The incidence of deep vein thrombosis in the observation group was lower than that in the control group (P < 0.05). The blood flow velocities of the popliteal vein, posterior tibial vein, and femoral vein in the observation group were higher than those in the control group (P < 0.05). The SF-36 scores in the observation group were higher than those in the control group (P < 0.05).
Conclusion   Stratified nursing can significantly reduce the incidence of deep vein thrombosis, improve lower limb venous blood flow status, and enhance quality of life, making it worthy of promotion and application.