风险预警机制护理对腹腔镜子宫肌瘤切除术患者血清D-D、FDP、TAT及DVT发生率的影响研究  

The Influence of the Risk Warning Mechanism Nursing on the Incidence of Serum D-D,FDP,TAT and DVT of Patients Undergoing Laparoscopic Myomectomy

作　　者：王燕[1] 栗娟[1] Wang Yan;Li Juan(Central Operating Room,Zhengzhou People's Hospital,Zhengzhou 450000)

机构地区：[1]郑州人民医院中心手术室,郑州450000

出　　处：《数理医药学杂志》2022年第8期1244-1247,共4页Journal of Mathematical Medicine

摘　　要：目的:研究风险预警机制建立的干预方法及其在腹腔镜下子宫切除术(LTH)患者护理中的应用价值。方法:将于某院行LTH治疗的100例患者随机分为C组和C+F组各50例,C组采用常规护理,C+F组在C组的基础上采用下肢深静脉血栓(DVT)风险预警机制干预。于两组患者护理前后,分别检查血清血栓因子(D-D、FDP、TAT),并统计术后DVT的发生率及生活质量。结果:干预后,C+F组患者血清D-D、FDP、TAT均低于C组(P<0.05);C+F组患者下肢肿胀、DVT的发生率依次为10%、2%,均低于C组的26%、10%(P<0.05);C+F组生活质量显著高于C组(P<0.05)。结论:于LTH患者护理中通过建立DVT风险预警机制能有效降低血栓因子水平,预防DVT发生并提高患者生活质量,值得推广和应用。Objective:To study the intervention method of establishing risk warning mechanism and its application value in the nursing of patients with laparoscopic total hysterectomy(LTH).Methods:100 patients treated with LTH in a hospital were randomly divided into group C and group C+F,with 50 cases in each group.Group C received routine nursing,and group C+F received risk warning mechanism intervention of lower extremity deep venous thrombosis(DVT)risk on the basis of group C.Before and after nursing care,serum thrombosis factors(D-D,FDP,TAT)were examined,and the incidence of postoperative DVT and quality of life in the two groups were counted.Results:After the intervention,the serum D-D,FDP and TAT in group C+F were lower than those in group C(P<0.05).The incidence of lower limb swelling and DVT in group C+F was 10% and 2%,which were lower than 26% and 10% in group C(P<0.05).The quality of life in group C+F was significantly higher than that in group C(P<0.05).Conclusion:In the nursing of LTH patients,the establishment of DVT risk warning mechanism can effectively reduce the levels of thrombosis factors,prevent DVT and improve the quality of life of patients,which is worthy of promotion and application.

关 键 词：腹腔镜子宫肌瘤切除术 风险预警机制 下肢深静脉血栓 血栓因子 

分 类 号：R473.73[医药卫生—护理学]