低分子肝素钙联合护理干预预防下肢骨折术后深静脉血栓疗效评价
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摘要
目的探讨护理干预应用于低分子肝素钙预防下肢骨折术后深静脉血栓形成的临床疗效。方法选择2014年2月至2015年2月医院收治的下肢骨折手术患者120例,根据随机数字表法分为对照组(常规护理)和观察组(护理干预),各60例,术后均给予低分子肝素钙治疗。观察并比较两组深静脉血栓形成、下肢肿痛的发生率,治疗后血液流变学、凝血酶原时间(PT)、D-二聚体变化情况,以及护理满意度。结果与对照组相比,观察组术后深静脉血栓形成、下肢肿痛的发生率均显著降低(P<0.05);全血高切黏度、全血中切黏度、全血低切黏度、红细胞聚集指数、D-二聚体水平均明显降低,PT明显增高(P<0.05);护理满意度明显改善(P<0.05)。结论低分子肝素钙预防术后深静脉血栓形成期间,护理干预能明显改善下肢骨折手术患者血流的高凝、高黏度状态,提升护理满意度。
Objective To study the clinical efficacy of nursing intervention of nursing intervention on deep venous thrombosis after lower limb fractures treatment by low molecular heparin calcium. Methods 120 operation patients with lower limb fractures in the hospital during February 2014 to February 2015 treated by low molecular heparin calcium were divided into the control group( routine nursing) and the observation group( nursing intervention) according to the random number method, 60 cases in each group. The incidence of deep venous thrombosis and lower limb swelling and pain, the changes of blood rheology, prothrombin time( PT), D- dimer, and the nursing satisfaction degree in the two groups were observed and compared. Results Compared with the control group, the incidence of deep venous thrombosis and lower limb swelling and pain were significantly reduced in the observation group( P < 0. 05); compared with the control group, the levels of whole blood high shear viscosity, whole blood cut viscosity,whole blood low cut viscosity,erythrocyte aggregation index and D- dimer were significantly decreased and the PT was obviously increased after nursing in the observation group( P < 0. 05); compared with the control group,the satisfaction degree for nursing service was significantly improved in the observation group( P < 0. 05). Conclusion Low molecular heparin calcium with effective nursing intervention in the prevention from deep venous thrombosis can significantly improve the high coagulation and viscosity state of blood flow and increase the nursing satisfaction degree.
Objective To study the clinical efficacy of nursing intervention of nursing intervention on deep venous thrombosis after lower limb fractures treatment by low molecular heparin calcium. Methods 120 operation patients with lower limb fractures in the hospital during February 2014 to February 2015 treated by low molecular heparin calcium were divided into the control group( routine nursing) and the observation group( nursing intervention) according to the random number method, 60 cases in each group. The incidence of deep venous thrombosis and lower limb swelling and pain, the changes of blood rheology, prothrombin time( PT), D- dimer, and the nursing satisfaction degree in the two groups were observed and compared. Results Compared with the control group, the incidence of deep venous thrombosis and lower limb swelling and pain were significantly reduced in the observation group( P < 0. 05); compared with the control group, the levels of whole blood high shear viscosity, whole blood cut viscosity,whole blood low cut viscosity,erythrocyte aggregation index and D- dimer were significantly decreased and the PT was obviously increased after nursing in the observation group( P < 0. 05); compared with the control group,the satisfaction degree for nursing service was significantly improved in the observation group( P < 0. 05). Conclusion Low molecular heparin calcium with effective nursing intervention in the prevention from deep venous thrombosis can significantly improve the high coagulation and viscosity state of blood flow and increase the nursing satisfaction degree.
引文
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[6]刘文颖.低分子肝素钙配合医用弹力袜预防髋关节置换术后下肢静脉血栓的效果及护理体会[J].中国药业,2015,24(5):69-70.
[7]谢静.低分子肝素预防术后下肢深静脉血栓形成43例[J].中国药业,2013,22(5):125-126.
[8]龚竹云,李继东,王彬.围手术期全程早期护理干预对预防老年肿瘤手术患者深静脉血栓的效果观察[J].中国医药导刊,2011,13(4):718-719.
[9]Shimoyama Y,Sawai T,Atsumi S,et al.Perioperative risk factors for deep vein thrombosis after total hip arthroplasty or total knee arthroplasty[J].J Clin Anesth,2012,24(7):531-536.
[2]孙美芝,唐霖,王红霞.下肢术后深静脉血栓形成预防与护理进展[J].齐鲁护理杂志,2011,17(6):36-37.
[3]姜光财,王忠平.低分子肝素钙预防下肢骨折术后深静脉血栓形成临床疗效观察[J].局解手术学杂志,2012,21(5):533-534.
[4]胡章云,李莉,张国英,等.髋关节手术后护理干预对下肢深静脉血栓形成的影响[J].中国实用护理杂志,2012,28(30):43-44.
[5]靳彩霞.护理干预对预防骨科手术后深静脉血栓形成的效果评价[J].中国实用护理杂志,2011,27(27):5-7.
[6]刘文颖.低分子肝素钙配合医用弹力袜预防髋关节置换术后下肢静脉血栓的效果及护理体会[J].中国药业,2015,24(5):69-70.
[7]谢静.低分子肝素预防术后下肢深静脉血栓形成43例[J].中国药业,2013,22(5):125-126.
[8]龚竹云,李继东,王彬.围手术期全程早期护理干预对预防老年肿瘤手术患者深静脉血栓的效果观察[J].中国医药导刊,2011,13(4):718-719.
[9]Shimoyama Y,Sawai T,Atsumi S,et al.Perioperative risk factors for deep vein thrombosis after total hip arthroplasty or total knee arthroplasty[J].J Clin Anesth,2012,24(7):531-536.