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孙晓芳,王银娥,邱兆磊▲.血栓弹力图联合人性化护理在预防严重多发伤下肢深静脉血栓形成中的应用[J].中国医药科学,2022,(20):95-98        基金项目:医路“格”新-液体治疗科研基金(YLGX-JZ-2020012)
血栓弹力图联合人性化护理在预防严重多发伤下肢深静脉血栓形成中的应用
Application of thromboelastography combined with humanized nursing care in the prevention of lower extremity deep venous thrombosis in severe multiple injuries
  
DOI:
中文关键词:  严重多发伤;人性化护理;血栓弹力图;下肢深静脉血栓
英文关键词:Severe multiple injuries; Humanized nursing care; Thromboelastography; Lower extremity deep venous thrombosis
作者单位
孙晓芳,王银娥,邱兆磊▲ 蚌埠医学院第一附属医院急诊外科,安徽蚌埠 233000 
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中文摘要:
      [摘要] 目的 探讨血栓弹力图联合人性化护理对严重多发伤下肢深静脉血栓形成的预防作用。 方法 选择蚌埠医学院第一附属医院急诊外科EICU 2020年1月至2021年6月收治的80例严重多发伤患者作为研究对象,根据随机数表法分为对照组和观察组,每组各40例。对照组为常规EICU护理模式,观察组为人性化EICU护理模式。两组均采取血栓弹力图监测患者凝血功能。比较护理干预后两组患者入住EICU护理期间护理满意度、干预前后凝血功能指标变化、EICU停留时间、住院时间及并发下肢深静脉血栓形成概率。 结果 入院后,观察组性别、年龄、体温、心率、收缩压、创伤严重程度评分(ISS)、创伤因素及创伤部位与对照组比较,差异无统计学意义(P > 0.05);观察组护理满意度高于对照组,差异有统计学意义(P < 0.05);观察组R值、K值及CI值低于对照组,差异有统计学意义(P < 0.05);观察组的α角及 MA值高于对照组,差异有统计学意义(P < 0.05);观察组并发下肢深静脉血栓形成率低于对照组,差异有统计学意义(P < 0.05);观察组EICU停留时间及住院时间短于对照组,差异有统计学意义(P < 0.05)。 结论 人性化护理理念联合血栓弹力图可减少严重多发伤患者并发下肢深静脉血栓形成的概率,值得临床推广应用。
英文摘要:
      [Abstract] Objective To explore the preventive effect of thromboelastography combined with humanized nursing care on lower extremity deep venous thrombosis in severe multiple injuries. Methods A total of 80 patients with severe multiple injuries treated by EICU in the Department of Emergency Surgery of the First Affiliated Hospital of Bengbu Medical College from January 2020 to June 2021 were selected as the study objects. They were randomly divided into the control group and the observation group by the random number method, with 40 cases in each group. The control group was treated in the routine EICU nursing mode, while the observation group was treated in the humanized EICU nursing mode. Thromboelastography was used to monitor the coagulation function of patients in both groups. The nursing satisfaction for undergoing nursing intervention after admission to EICU, the changes of coagulation function indexes before and after the intervention, the length of stay in the EICU, the length of hospital stay, and the probability of concurrent lower extremity deep venous thrombosis were compared between the two groups. Results After admission, there were no statistically significant differences between the observation group and the control group in gender, age, body temperature, heart rate, systolic blood pressure, injury severity score (ISS), trauma factors and trauma site (P > 0.05). The nursing satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05); the R value, K value and CI value of the observation group were lower than those of the control group, and the differences were statistically significant (P < 0.05); the α angle and MA value of the observation group were higher than those of the control group, and the differences were statistically significant (P < 0.05); the probability of concurrent lower extremity deep venous thrombosis in the observation group was lower than that in the control group, and the difference was statistically significant (P < 0.05); the length of stay in the EICU and the length of hospital stay of the observation group were shorter than those of the control group, and the differences were statistically significant (P < 0.05). Conclusion Humanized nursing care combined with thromboelastography can reduce the probability of concurrent lower extremity deep venous thrombosis in patients with severe multiple injuries, which is worthy of clinical popularization and application.
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