以血栓弹力图为指导预防食管癌患者术后深静脉血栓的护理研究  

Nursing study of preventing postoperatived deep vein thrombosis in patients with esophageal cancer guided by thromboelastography

作　　者：李祖媚[1] 林顺意[1] 孙洁群[1] 段楚骁 陈嘉荣[1] 谢志威[1] 梁桂芳 陈桃 LI Zu-mei;LIN Shun-yi;SUN Jie-qun;DUAN Chu-xiao;CHEN Jia-rong;XIE Zhi-wei;LIANG Gui-fang;CHEN Tao

机构地区：[1]江门市中心医院胸外科

出　　处：《护理实践与研究》2019年第18期81-83,共3页Nursing Practice and Research

基　　金：江门市科学技术局2018年医疗卫生科技计划项目(2018A029)

摘　　要：目的探讨以血栓弹力图(TEG)为指导预防食管癌术后患者深静脉血栓形成(DVT)的护理效果。方法选取2017年3月至2018年10月我院食管癌手术治疗的患者120例为研究对象,术后对其进行TEG检测,观察DVT发生及TEG检测结果;比较发生DVT高凝状态患者干预前后TEG检测结果。结果120例患者中,DVT发生率为7.50%,血液呈高凝状态占40.83%。DVT、高凝状态患者干预1周后,R值、K值、a角、MA及CI指标与干预前比较差异有统计学意义(P<0.05)。结论对食管癌术后患者进行TEG检测,能够有效测定其凝血状态,采用以TEG为指导的护理措施,能够有效控制DVT发生,且对DVT患者症状程度进行评估,值得推广。Objective To investigate the nursing effect of preventing postoperatived deep vein thrombosis(DVT)in patients with esophageal cancer guided by thromboelastography(TEG).Methods To select 120 cases of patients with esophageal cancer surgery from March 2017 to October 2018 as a study object.TEG was performed after operation to observe DVT and TEG test results.TEG results was compared before and after intervention in patients with DVT hypercoagulable state.Results Among 120 cases of patients,the incidence of DVT was 7.50%,and the hypercoagulable state was 40.83%.After 1 week of intervention in patients with DVT and hypercoagulable state,the R value,K value,a angle,MA and CI indicators were statistical significance in the comparative difference from those before intervention(P<0.05).Conclusion TEG test for postoperative patients with esophageal cancer could effectively determine the coagulation status.Nursing measures guided by TEG could effectively control the occurrence of DVT and evaluate the symptom degree of DVT patients,which was worth popularizing.

关 键 词：血栓弹力图 食管癌 深静脉血栓 预防 护理 

分 类 号：R473.73[医药卫生—护理学]