目的 分析Caprini量表、JFK医疗中心风险评估量表、Autar量表预测骨科术后病人静脉血栓栓塞症风险的效果,总结骨科术后病人预防静脉血栓栓塞症的护理措施.方法 选取天津北辰医院近2年(2021年7月-2023年2月)收治的80例骨科手术患者,分别采用Caprini量表、JFK医疗中心风险评估量表、Autar量表对所选患者发生静脉血栓栓塞症的风险进行评估,对比三种量表的预测价值.结果 Caprini量表预测静脉血栓栓塞症的ROC曲线下面积为(0.731±0.028),Autar量表预测静脉血栓栓塞症的ROC曲线下面积为(0.822±0.017),JFK医疗中心风险评估量表预测静脉血栓栓塞症的ROC曲线下面积为(0.837±0.033),两两比较ROC曲线下面积结果表明,Caprini量表与JFK医疗中心风险评估量表、Autar量表比较,存在统计学差异(P<0.05),Autar量表与JFK医疗中心风险评估量表相比,无显著差异(P>0.05).结论 Caprini量表、JFK医疗中心风险评估量表、Autar量表预测骨科术后病人静脉血栓栓塞症风险具有良好的效果,特别是JFK医疗中心风险评估量表、Autar量表针对性更强,可大量推广.
Objective To analyze the effect of Caprini scale,JFK Medical Center risk assessment scale and Autar scale in predicting the risk of venous thromboembolism in patients after orthopedic surgery,and to summarize the nursing measures for preventing venous thromboembolism in patients after orthopedic surgery.Methods 80 patients with orthopedic surgery admitted to our hospital in recent 2 years(July 2021 to February 2023)were selected.Caprini scale,JFK Medical Center risk assessment scale and Autar scale were used to evaluate the risk of venous thromboembolism in this group of patients,and the predictive value of the three scales was compared.Results The area under the ROC curve of the Caprini scale for predicting venous thromboembolism was(0.731±0.028),the area under the ROC curve of the Autar scale for predicting venous thromboembolism was(0.822±0.017),and the area under the ROC curve of the JFK scale for predicting venous thromboembolism was(0.837±0.033),the area under the ROC curve of pairwise comparison showed that there was a statistical difference between Caprini scale,JFK scale and Autar scale(P<0.05),but there was no significant difference between Autar scale and JFK scale(P>0.05).Conclusion Caprini scale,JFK Medical Center risk assessment scale and Autar scale have good effects in predicting the risk of venous thromboembolism in patients after orthopedic surgery,especially JFK scale and Autar scale are more targeted and can be widely promoted.