摘要
目的探讨基于Caprini血栓风险评估量表的分级护理对重症脑出血术后患者昏迷的应用效果。方法将平顶山市第二人民医院2021年1月至2021年12月重症医学科住院病区的120例重症脑出血术后昏迷患者作为研究样本。采用随机排列法分为对照组(N=60,实施常规护理)和研究组(N=60,实施基于Caprini血栓风险评估量表的分级护理),比较两组术后恢复情况、凝血功能变化、下肢股静脉血流指标及下肢深静脉血栓的发生率。结果研究组术后卧床时间、ICU住院时间及住院时间均短于对照组,差异有统计学意义(P<0.05),两组干预前凝血酶原时间(PT)、活化部分凝血酶原时间(ATPP)、D-二聚体(D-D)和纤维蛋白原(FIB)比较,差异无统计学意义(P>0.05);研究组干预后PT、APTT、D-D和FIB水平均低于对照组,差异有统计学意义(P<0.05)。两组干预前下肢股总静脉血流阻力指数(RI)、血流平均速度(Vmean)和血流最大流速(Vmax)水平比较,差异无统计学意义(P>0.05);研究组干预后RI水平低于对照组,Vmean和Vmax水平高于对照组,差异有统计学意义(P<0.05)。研究组均未发生下肢DVT,与对照组相比,差异有统计学意义(P<0.05)。结论基于Caprini血栓风险评估量表的分级护理可以有效改善重症脑出血术后昏迷患者的凝血功能和下肢血流动力学指标,预防下肢DVT的发生,加快病情恢复时间,临床干预效果显著。
Objective To discuss the applied effects of Caprini thrombosis risk assessment scale-based grading nursing for severe cerebral hemorrhage patients with coma.Methods A total of 120 patients with coma after operation of severe cerebral hemorrhage treated in our hospital from January 2021 to December 2021 were selected as research subjects.According to random permutation method,patients were assigned to control group(N=60,routine care)and study group(N=60,Caprini thrombosis risk assessment scale-based grading nursing).The postoperative recovery conditions,blood coagulation function,lower limb femoral venous blood flow and the occurrences of low limb deep venous thrombosis were compared between two groups.Results The postoperative bedridden time,duration of staying in the ICU and overall hospitalization time in the study group were significantly shorter than control group(P<0.05);Before intervention,there were no significant between-group differences about the prothrombin time(PT),activated partial thromboplastin time(APTT),D-dimer(D-D)and fibrinogen(FIB)levels(P>0.05);After intervention,PT,APTT,D-D and FIB levels in the study group were lower than control group(P<0.05);Before intervention,there were no significant between-group differences about the lower limb common femoral venous blood flow resistance index(RI),mean blood velocity(Vmean)and maximum blood velocity(Vmax)(P>0.05);After intervention,RI values in the study group were lower than control group;Vmean and Vmax values were higher than control group(P<0.05);The occurrences of DVT in the study group(0%)were lower than control group(10%)(P<0.05).Conclusion Caprini thrombosis risk assessment scale-based grading nursing can improve the blood coagulation function and lower limb hemodynamic index,prevent the occurrence of DVT in the lower limbs and promote the fast recovery for severe cerebral hemorrhage patients with coma,with significant effect of the clinical intervention.
作者
聂方方
NIE Fangfang(Department of Critical Care Medicine,Pingdingshan Second People's Hospital,Pingdingshan Henan 467000,China)
出处
《临床研究》
2022年第10期138-141,共4页
Clinical Research
