梁珊珊,许 琦

目的：探讨Autar风险评估量表在老年骨折术后深静脉血栓（DVT）预防中的应用效果。方法：选取2024年1月-2025年1月我院收治的86例老年骨折手术患者，随机分为观察组（43例）与对照组（43例）。对照组采用常规血栓预防护理，观察组采用Autar量表进行风险分层评估并实施分级预防干预，比较两组DVT发生率、凝血功能指标、下肢血流速度及护理满意度。结果：观察组DVT发生率为2.33%，对照组DVT发生率为11.63%，但差异无统计学意义（P＞0.05）；干预后观察组D-二聚体、纤维蛋白原水平低于对照组，下肢静脉血流速度高于对照组（P<0.05）；观察组护理满意度为97.67%，高于对照组的83.72%（P<0.05）。结论：Autar风险评估量表可有效分层老年骨折术后DVT风险，指导分级预防干预，可降低血栓发生率，改善凝血功能与下肢血液循环，提升护理质量，值得临床推广。

Autar风险评估量表；老年骨折；深静脉血栓；分级预防；护理干预

[1] 陆晓红,朱松英,袁琴.老年髋部骨折患者术后DVT形成危险因素探讨[J].浙江创伤外科,2026,31(02):348-351. [2] Ge X,Yao L,Liu Y,et al.Comparing machine learning models for predicting preoperative DVT incidence in elderly hypertensive patients with hip fractures:a retrospective analysis[J].Sci Rep,2025,15(1):13206.PMID:40240511 [3] Orak F,Saadat M,Saki Malehi A,et al.Comparison of the Pauda and the Autar DVT Risk Assessment Scales in Prediction of Venous Thromboembolism in ICU Patients[J].Med J Islam Repub Iran,2024,38:48.PMID:39399622 [4] Ashrafi Z,Ameri M,Khosravi A,et al.Comparison of Autar scale and Wells criteria in DVT risk assessment by nurses in patients with lower extremity trauma[J].J Vasc Nurs,2022,40(3):148-152.PMID:36414370 [5] 钟建华,张自发,周朝义,等.抗凝时机对老年全髋关节置换术围手术期深静脉血栓预防的效果及安全性影响观察[J].老年医学与保健,2025,31(04):1030-1033+1044. [6] 苏丹,薛明月,薛芃.老年患者住院期间发生下肢深静脉血栓的危险因素分析[J].血管与腔内血管外科杂志,2025,11(08):1025-1029. [7] Zhang L,He M,Jia W,et al.Analysis of high-risk factors for preoperative DVT in elderly patients with simple hip fractures and construction of a nomogram prediction model[J].BMC Musculoskelet Disord,2022,23(1):441.PMID:35546231 [8] Wang B,Zhang Y,Zhao L,et al.Development and validation of a nomogram for predicting preoperative therapy response in elderly hip fracture patients with lower limb DVT:A retrospective study[J].Medicine(Baltimore),2025,104(52):e46714.PMID:41465978 [9] 刘佳欣,黄桂玲,朱聪聪,等.静脉血栓栓塞症风险评估工具在老年人群中的应用进展[J].实用心脑肺血管病杂志,2025,33(07):133-140. [10] 黄芳,邓欢,苏园园,等.基于Autar评分的手术室护理管理在老年骨折手术患者中的应用[J].齐鲁护理杂志,2024,30(10):138-140. [11] 柴充,王浩磊.Caprini､Wells､Autar评估量表对人工全膝关节置换患者术后下肢深静脉血栓的预测价值[J].河南医学研究,2023, 32(18):3316-3319.

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