摘要
目的探讨体位护理联合弹力袜在预防下肢静脉曲张术后静脉血栓中的效果。方法收集哈尔滨医科大学附属第二医院于2016年1月至2018年1月,收治的下肢静脉曲张术后90例静脉血栓患者的临床资料,根据护理方法的不同,分为观察组和对照组,每组45例。对照组使用体位护理法,观察组在对照组的基础上使用弹力袜护理干预。对比两组患者预防效果、凝血功能、下肢静脉血栓发生率及患者依从性。结果护理前两组患者凝血功能指标比较,差异无统计学意义(P>0.05);护理后观察组活化部分凝血活酶时间(APTT)及凝血酶原时间(PT)明显高于对照组,差异有统计学意义(P<0.05);纤维蛋白原(FIB)和凝血酶时间(TT)明显低于对照组,差异有统计学意义(P<0.05);观察组下肢静脉血栓发生率明显低于对照组,差异有统计学意义(P<0.05);护理前两组患者白细胞介素6(IL-6)、C反应蛋白(CRP)及肿瘤坏死因子α(TNF-α)等炎症因子指标比较,差异均无统计学意义(P>0.05);护理后观察组炎症因子指标明显低于对照组,差异有统计学意义(P<0.05);观察组预防效果明显高于对照组,差异有统计学意义(P<0.05)。结论采用体位护理联合弹力袜对下肢静脉曲张术后的静脉血栓患者进行干预,可以缓解患肢的酸胀负重感,提升患者舒适度,缓解血液高凝状态,同时有助于预防术后发生静脉血栓,值得在临床进一步推广应用。
Objective To explore the effect of body position nursing combined with elastic stockings in preventing venous thrombosis after varicose vein operation of lower extremities. Methods The clinical data of 90 patients with venous thrombosis treated with varicose vein surgery from January of 2016 to January of 2018 in The 2nd Affiliated Hospital of Harbin Medical University were collected and analyzed retrospectively. Those patients were divided into the observation group and control group with 45 cases in each group according to different nursing methods. The control group was given body position nursing, while the observation group was given the nursing intervention with elastic stockings as well as the body position nursing. The preventive effect, coagulation function, incidence of lower extremity venous thrombosis and patients' compliance were compared between the two groups. Results There was no significant differences in the coagulation index between the two groups before nursing( P >0.05). Activated partial thromboplastin time (APTT) and prothrombin time (PT) in the observation group were significantly higher than those in the control group after nursing ( P <0.05), while fibrinogen (Fbg) and thrombin time (TT) in the observation group were significantly lower than those in the control group ( P <0.05). The incidence of lower extremity venous thrombosis in the observation group was significantly lower than that in the control group ( P <0.05). There was no significant difference in such inflammatory factors as interleukin-6 (IL-6), C-reactive protein (CRP) and tumor necrosis factor-alpha (TNF-a) between the two groups before nursing ( P >0.05). The incidence of lower extremity venous thrombosis in the observation group was significantly lower than that in the control group after nursing ( P <0.05), while the preventive effect of the observation group was significantly higher than that of the control group ( P <0.05). Conclusion The intervention of body position nursing combined with elastic sockings can alleviate the feeling of acid swelling and weight-bearing of affected limbs, improve patients' comfort, relieve the hypercoagulable state of blood and help prevent the occurrence of venous thrombosis after varicose vein surgery. Therefore, it is worthy of further promotion and application in clinical practice.
作者
周静
Zhou Jing(Department of Vascular Surgery,The 2nd Affiliated Hospital of Harbin Medical University,Harbin 150086,China)
出处
《成都医学院学报》
CAS
2019年第2期230-233,共4页
Journal of Chengdu Medical College
关键词
体位护理
弹力袜
下肢静脉曲张术
静脉血栓
效果
Body position nursing care
Elastic stockings
Varicose vein of lower extremities
Venous thrombosis
Effect
