目的:探讨预见性护理措施对下肢多发骨折患者深静脉血栓的影响。方法:将2012年6月至2015年12月中山市三乡医院收治的80例下肢多发骨折患者,将采取常规护理的40例患者分为对照组,将在常规护理基础上采取预见性护理措施的40例患者分为观察组,对比分析两组患者术前和术后1周血浆中D-二聚体含量、住院时间、深静脉血栓发生率。结果:术前两组患者血浆中D-二聚体含量比较,差异无统计学意义(P>0.05),术后1周两组血浆中D-二聚体含量均降低,且观察组数值低于对照组,观察组住院时间、深静脉血栓发生率均优于对照组,差异具有统计学意义(P<0.05)。结论:对下肢多发骨折患者实施预见性护理,能够降低患者血浆中D-二聚体含量,缩短患者住院时间,降低深静脉血栓发生率,有利于患者术后康复。 Objective: To investigate the effect of predictive nursing intervention on deep venous thrombosis in patients with multiple fractures of lower extremity. Methods: From June 2012 to December 2015, 80 patients with multiple fractures of lower extremity who were treated in Sanxiang Hospital of Zhongshan City were divided into control group and 40 patients who took routine nursing care. Based on routine nursing, predictive nursing measures Of 40 patients were divided into observation group, comparative analysis of plasma D-dimer concentration, length of stay, and incidence of deep vein thrombosis in both groups before and after 1 week. Results: There was no significant difference in plasma D-dimer levels between the two groups before operation (P> 0.05). The plasma D-dimer levels in both groups decreased after 1 week and the values ​​in the observation group were lower In the control group, the incidence of hospitalization and deep venous thrombosis in the observation group were better than those in the control group, the difference was statistically significant (P <0.05). Conclusion: The prospective nursing care for patients with multiple fractures of the lower extremities can reduce the plasma D-dimer content, shorten the hospitalization time and reduce the incidence of deep venous thrombosis, which is good for postoperative rehabilitation.