| 何萌,来永强,张喜维,王生伟,朱治辉,徐亚静,徐丽丽.新型预防管理模式-多学科医患交互在行心脏瓣膜术后患者静脉血栓栓塞症中的应用效果[J].中国医药导报,2024,21(6):151-154 |
二维码（扫一下试试看！） |
| 新型预防管理模式-多学科医患交互在行心脏瓣膜术后患者静脉血栓栓塞症中的应用效果 |
| Application effectiveness of a new preventive management model-the multi- disciplinary doctor patient interactive approach in preventing venous thromboembolism in patients after heart valve surgery |
| 收稿日期： 修订日期：2023-04-19 |
| DOI：10.20047/j.issn1673-7210.2024.06.35 |
| 关键词: 心脏瓣膜手术 静脉血栓栓塞症 质量改善 并发症 |
| Key Words: |
| 基金项目:国家自然科学基金资助项目（82170374） |
|
| 摘要点击次数: 577 |
| 全文下载次数: 208 |
| 摘要:目的 探讨新型预防管理模式-多学科医患交互在行心脏瓣膜术后患者静脉血栓栓塞症（VTE）中的效果。方法 纳入2021年1月至2022年12月首都医科大学附属北京安贞医院结构性心脏外科中心接受心脏瓣膜手术患者1 200例，采用随机数字表法将其分为对照组和干预组，各600例。对照组采用基本预防措施，干预组在对照组基础上实施新型预防管理模式-多学科医患交互措施。观察两组围手术期VTE的发生率，心脏瓣膜术后肺栓塞发生率和全因死亡率。 结果 干预后，干预组院内DVT发生率低于对照组，差异有统计学意义（P＜0.05）；两组院内肺栓塞发生率与术后早期全因死亡率比较，差异无统计学意义（P＞0.05）。干预组VTE质控指标均高于对照组，差异有统计学意义（P＜0.05）。 结论 新型VTE预防管理模式-多学科医患交互能够有效降低心脏瓣膜手术患者VTE的发生率，为心脏外科术后VTE的预防管理提供了重要的依据，并为改进围手术期管理提供了有益的参考。 |
| Abstract:Objective To explore the effectiveness of a new preventive management model-the multi-disciplinary doctor patient interactive approach in preventing venous thromboembolism (VTE) in patients after cardiac valve surgery. Methods A total of 1200 patients receiving heart valve surgery at the Cardiac Surgery Center, Beijing Anzhen Hospital, Capital Medical Universityfrom January 2021 to December 2022 were included. They were divided into control group and intervention group, with 600 cases in each group by random number table method. The control group adopted basic preventive measures, and the intervention group implemented a new preventive management model multi-disciplinary doctor patient interaction measures based on the control group. The incidence of perioperative VTE, pulmonary embolism and all cause mortality were observed in the two groups. Results After intervention, the incidence of DVT in the intervention group was lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). There was no significant difference in the incidence of in hospital pulmonary embolism and early postoperative all cause mortality between the two groups (P＞0.05). The accuracy of VTE risk assessment in intervention group was higher than that in control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The novel VTE prevention and management model multi-disciplinary doctor patient interaction can effectively reduce the incidence of VTE in patients undergoing heart valve surgery, provide an important basis for the prevention and management of VTE after cardiac surgery, and provide a useful reference for improving perioperative management. |
| 查看全文 HTML 查看/发表评论 下载PDF阅读器 |
