Clinical characteristics and nursing of lower extremity deep vein thrombosis in elderly patients in Intensive Care Unit of Neurology Department
10.3760/cma.j.issn.1674-2907.2019.25.007
- VernacularTitle:神经内科ICU老年患者下肢DVT的临床特点与护理
- Author:
Fang LIU
1
;
Lichao GONG
;
Ting YANG
;
Wenwen FU
Author Information
1. 首都医科大学宣武医院神经内科ICU
- Keywords:
Venous thrombosis;
Lower extremity;
Department of Neurology;
Intensive Care Unit
- From:
Chinese Journal of Modern Nursing
2019;25(25):3195-3199
- CountryChina
- Language:Chinese
-
Abstract:
?? [Abstract]? Objective? To analyze the clinical characteristics of lower extremity deep venous thrombosis (DVT) in elderly patients in Intensive Care Uni(t ICU) of Neurology Department, and to provide evidence for early implementation of preventive strategies. Methods? Totally 229 patients who were admitted to the ICU of Neurology Department in a hospital from March 2017 to October 2018 were collected as the participants of the study and divided into the elderly group(age≥ 60 years) and non-elderly group(age＜ 60 years) according to their ages. Self-designed questionnaire was used to collect the patients' general information, relevant factors of the lower extremity DVT, and information of commonly seen problems in elderly population such as history of hypertension and diabetes. SPSS 22.0 was used for data analysis. Results? Among the 229 patients, 97 were diagnosed as lower extremity DVT, the incidence was 42.4%. Among them, the number of lower extremity DVT in the elderly group was 62, and the incidence was 57.4%, while the number in the non-elderly group was 35, and the incidence was 28.9%, and there was statistically significant difference between the two groups (P＜0.05). There were statistically significant difference between the two groups in terms of fibrinogen value during thrombosis, hypertension history, diabetes, heart disease and hormone drug use, etc (P＜0.05). There was no statistical difference in the vascular location of DVT in lower extremities between the two groups (P＞0.05), and the main type of DVT was intramuscular venous thrombosis. Conclusions? Ischemic cerebrovascular disease, high level fibrinogen accompanied by hypertension, diabetes mellitus and heart disease are the main factors of DVT formation in the lower extremity of elderly patients in ICU of Neurology Department. Reducing hormone use is the protective factor of DVT prevention in lower extremities. Neurological ICU needs to pay early attention to the occurrence of DVT in the lower extremities of the elderly, especially the intramuscular venous thrombosis. Early prevention and interventions should be initiated to reduce the incidence of DVT in the lower extremities of elderly patients in Neurological ICU.
