摘要
目的探讨急性中毒患者在股静脉置管行血液净化治疗中下肢静脉血栓的预防及护理。方法选择2014至2017年收治的急性中毒行股静脉置管血液净化治疗的160例患者,随机分为干预组与对照组,每组80例。对照组给予常规治疗和护理,干预组除常规护理治疗外给予预防性用药、间歇性加压治疗和护理干预,2组均观察置管下肢有无肿胀、疼痛、皮肤温度变化情况,并给予常规彩色多普勒B超检查。结果干预组发生下肢静脉血栓1例,发生率1.25%;对照组发生下肢静脉血栓9例,发生率为11.5%,差异有统计学意义(P<0.05)。结论急性中毒患者行股静脉置管后,若及早进行预防用药联合间歇加压并护理干预,可有效降低血栓形成。
Objective To investigate the prevention and nursing of lower extremity venous thrombosis in patients with acute intoxication treated by blood purification via femoral vein catheter.Methods A total of 160 patients who were treated by blood purification via femoral vein catheter in our hospital from 2014 to 2017 were enrolled in the study,who were randomly divided into intervention group and control group,with 80 cases in each group.The patients in control group were given routine treatment and nursing,however,the patients in intervention group,on the basis of control group,were given prophylactic medication,intermittent pressure treatment and nursing intervention.The lower limb swelling and pain status and skin temperature changes were observed and compared between the two groups,and routine color Doppler B ultrasonic examination was performed.Results There were 1 case of lower extremity venous thrombosis in intervention group,with the incidence rate being 1.25%,however,there were 9 cases of lower limb venous thrombosis in control group,with the incidence rate being 11.5%,there was a significant difference between the two grousp(P<0.05).Conclusion After femoral vein catheterization in patients with acute poisoning,the early preventive medication combined with intermittent pressure and nursing intervention can effectively reduce thrombosis.
作者
韩金涛
杨莉
祁晓芳
闫蕾
杨静
HAN Jintao;YANG Li;QI Xiaofang(Emergency Department,The First Hospital of Handan City,Hebei,Handan 056002,China)
出处
《河北医药》
CAS
2020年第16期2549-2553,共5页
Hebei Medical Journal
基金
河北省医学科学研究重点课题计划项目(编号:20160022)。
关键词
急性中毒
血液净化
下肢静脉血栓
预防
护理
acute poisoning
hemopurification
phlebothrombosis of lower extremity
prevention
nursing
