规范评估及早期干预DVT高危人群对综合性医院肺栓塞发病率的影响-现代医学

规范评估及早期干预DVT高危人群对综合性医院肺栓塞发病率的影响

单位：1. 济南大学/山东省医学科学院医学与生命科学学院, 山东济南 250000;
2. 济宁市第一人民医院, 山东济宁 272067

分类号：R543.2

出版年·卷·期（页码）：2018·46·第三期（281-285）

摘要：

目的：探讨规范评估及早期干预对住院患者中深静脉血栓形成（DVT）高危患者肺栓塞（PE）发病率的影响。方法：收集2014~2016年住院患者资料，分析3年中PE的发病率变化趋势，同时根据DVT评分筛选DVT高危人群，比较3年中DVT高危人群的踝泵运动、肢体气压治疗、间歇气囊压迫装置、弹力袜、低分子肝素、早期下床活动等干预措施的使用率，分析早期运用踝泵运动等干预措施与降低PE发病率之间的关系。结果：2014~2016年住院患者中PE的发病率逐渐下降（P<0.05），而评估出的DVT高危患者中，除弹力袜之外踝泵运动等干预措施的使用率逐渐上升（P<0.05）。结论：随着DVT风险规范评估的开展及踝泵运动等干预措施的使用院内PE发病率逐渐下降，提示规范评估住院患者DVT形成风险及早期干预对PE的预防有效。

Objective: To explore the effects of standardized assessment and early intervention on the incidence rate of pulmonary embolism(PE).Methods: The clinical data of inpatients in thehospital from 2014 to 2016 were collected and the incidence trend of patients with PE in 3 years was analyzed. Meanwhile, according to deep venous thrombosis (DVT) score, high-risk population of DVT in 3 years were screened and the utilized rate of ankle pump movement, limb pressure treatment, intermittent balloon compression device, elastic stockings, low molecular weight heparin and early ambulation were compared in the high-risk population of DVT. The relationship was analyzedbetween the early usage of interventions and reduction of PE incidence. Results: The PE incidence rate of inpatientsdecreased gradually from 2014 to 2016(P<0.05), while the utilizedrate of ankle pump movement and other interventions increased gradually except the use of elastic stockings (P<0.05) in high-risk population of DVT.Conclusion: With more and more help of ankle pump exercise and other interventions, the incidence rate of PE decreases gradually, suggesting that standardized assessment and early intervention on high-risk population of DVT are effective in the prevention of PE.

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