妇科全麻术后患者发生上肢血栓性静脉炎的影响因素分析与对策

Analysis of influencing factors and countermeasures of upper extremity thrombophlebitis in patients aftergynecological general anesthesia

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DOI 10.12208/j.jmnm.202200653
刊名
Journal of Modern Nursing MedicineJPCNS
年,卷(期) 2022, 1(10)
作者
作者单位

昆山市第一人民医院 江苏昆山 ;

摘要
探讨采用妇科全麻手术的患者在术后出现上肢血栓性静脉炎的原因以及临床应对的对策研究;方法 采用回顾性分析法对 2021 年 9 月-2022 年 9 月期间在我院妇科接受手术治疗的患者 82 例,这些患者在进行全麻手术后有 5 例出现了上肢血栓性静脉炎的症状,通过分析患者的临床资料探讨其出现上肢血栓性静脉炎的原因,并对患者采取及时有效的干预策略。结果 82 例患者采用及时有效的干预策略均获得了良好的临床效果,康复出院;结论 根据我们临床的研究发现,返房后拔除使用麻醉药品的留置针,静脉敷水胶体材料,中药涂擦,硫酸镁+地米+喜辽妥外敷,这 3 种效果都很好,大大降低静脉炎的发生,第 3种血栓性静脉炎没有一例。对于妇产全麻手术患者术后发生上肢血栓性静脉炎主要是由于肥胖、长期卧床所导致的,及时采取有效的干预措施,能够在很大程度上降低患者的发病概率,提升患者的住院质量和住院满意度。
Abstract
Objective To investigate the causes of upper limb thrombophlebitis after gynecological surgeryunder general anesthesia and the clinical countermeasures; Methods Retrospective analysis was used to analyze theclinical data of 82 patients with upper limb thrombophlebitis after general anesthesia in our hospital fromSeptember 2021 to September 2022, and the causes of upper limb thrombophlebitis were discussed, and timely andeffective intervention strategies were taken for patients.Results 82 patients were treated with timely and effectiveintervention strategies and achieved good clinical results; Conclusion According to our clinical study, afterreturning to the room, the indwelling needle using narcotic drugs was removed, the hydrocolloid material wasapplied intravenously, the traditional Chinese medicine was applied, and the magnesium sulfate + dexamethasone +Hirudoid was applied externally, all of which had good effects and greatly reduced the occurrence of phlebitis, andthere was no case of the third kind of thrombophlebitis. Thrombophlebitis of upper limbs after general anesthesia ismainly caused by obesity and long-term bedridden. Timely and effective intervention measures can greatly reducethe incidence of patients and improve the quality and satisfaction of hospitalization.
关键词
上肢血栓性静脉炎;麻醉血栓相关;影响因素;
KeyWord
Thrombophlebitis of upper limb; Anesthesia is associated with thrombosis; Influencing factors;
基金项目
页码 181-183
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刘海萍*,杨丽. 妇科全麻术后患者发生上肢血栓性静脉炎的影响因素分析与对策 [J]. 现代护理医学杂志. 2022; 1; (10). 181 - 183.

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