Nursing Prophylaxis And Risk Factors Of Deep Vein Thrombosis In Patients Undergoing Total Joint Replacement

Deep vein thrombosis (DVT) is one of the most common complications after total joint replacement. It can induce primary venous valvular insufficiency (PVI) and pulmonary thromembolism (PTE) which may influence patients' quality of life, even lead to death. This article studied the clinical effect of early mobilization and investigated the risk factors of deep vein thrombosis in patients under total joint replacement.Part â…  : Study on clinical effect of early mobilization for prophylaxis of DVT in patients undergoing total joint replacement. Objective: Institute the plan of early mobilization and test the clinical effect of prophylaxis for DVT. Method: 102 patients undergoing total hip replacement or total knee replacement were allocated randomly two groups: the mobilization group (n=50) guided to exercise in early postoperation and the control group (n=52) was given nursing routine for prophylaxis of DVT. Symptoms of DVT and D-Dimer were measured before and after the operation. Result: The symptoms of DVT were much more in the control group than in the mobilization group in early postoperation. The plasma concentration of D-Dimer was much higher in the control group than in the mobilization group in 7d after the operation. Conclusion: Early mobilization decreased the symptoms of DVT and plasma concentration of D-Dimer significantly in early postoperation. The early mobilization can prevent DVT in patients undergoing total joint replacement.Part â…¡: Clinical risk factors for DVT after total joint replacement. Objective: To investigate and analyze the clinical risk factors for DVT after total joint replacement. Method: We evaluated 102 patients undergoing totaljoint replacement. 14 clinical factors were examined in order to analyze their influences in DVT formation after operation. Result: Regression analysis demonstrated a definite association of cement usage, early mobilization and low-molecular-weight heparin. Other factors had no statistically significant association with DVT. Conclusion: DVT was affected by many factors. Nurses should evaluate allover clinical risk factors, and the high risk factors especially.