快速康复理念下预警性干预对经皮冠状动脉介入术后1年内肺癌术围术期血栓事件的影响研究  

Research on effect of early warning intervention under the concept of rapid recovery on perioperative thrombotic events in lung cancer surgery within one year after percutaneous coronary intervention

作　　者：任迎春[1] 郭琳[1] 区颂雷[1] 韩薇[1] 王瑶[1] 李妍[1] 王鑫玉 范谦[2] REN Ying-chun;GUO Lin;OU Song-lei(Department of Chest Surgery,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;不详)

机构地区：[1]首都医科大学附属北京安贞医院胸外科,北京100029 [2]首都医科大学附属北京安贞医院心内科,北京100029

出　　处：《中国医学装备》2023年第6期137-141,共5页China Medical Equipment

摘　　要：目的:探究快速康复理念下预警性干预对经皮冠状动脉介入术(PCI)术后1年内肺癌术围术期血栓事件的影响。方法:选取因非小细胞肺癌于医院行肺叶切除术且术前12个月内接受过PCI治疗的60例患者,采用随机数表法将其分为对照组和观察组,每组30例,对照组采用常规护理,观察组在快速康复理念下预警性护理,应用Caprini深静脉血栓风险评估表动态掌握患者病情,从基础预防、物理预防和药物预防进行全方位管理,比较两组患者的凝血功能指标、血栓事件、生活质量简表-36(SF-36)评分和患者对护理的满意度。结果:干预后两组的血红蛋白(Hb)、纤维蛋白原(FIB)、血小板计数(BPC)、凝血酶原时间(PT)、D-二聚体(D-D)和纤维蛋白(原)降解产物(FDP)水平数据均显著优于干预前,且观察组的Hb、FIB、BPC、PT、D-D和FDP水平数据优于对照组,其差异有统计学意义(t=2.417,t=9.342,t=8.322,t=8.191,t=8.194,t=5.343。观察组术后肢体瘀斑面积为(1.88±0.21)cm^(2),显著低于对照组,组间差异有统计学有意义(t=7.097,P<0.05);血栓事件发生率及其他并发症发生率分别为3.3%(1/30)和6.6%(2/30),均显著低于对照组,组间差异有统计学意义(x^(2)=6.405,x^(2)=4.320;P<0.05)。干预后观察组的SF-36评分为(92.32±3.14)分,显著高于对照组,组间差异统计学有意义(t=15.672,P<0.05)。观察组患者总满意率为90.0%(27/30),显著高于对照组,组间差异有统计学意义(x^(2)=4.812,P<0.05)。结论:快速康复理念下预警性护理能够改善PCI术后1年内肺癌手术患者的凝血功能,减少围术期血栓事件及并发症的发生,以及患者术后肢体瘀斑面积,提高患者生活质量和患者满意度。Objective:To explore the effect of early warning intervention on perioperative thrombotic events in patients with lung cancer within one year after percutaneous coronary intervention(PCI)under the concept of rapid rehabilitation.Methods:60 patients who underwent lobectomy for non-small cell lung cancer in the hospital and received PCI treatment within 12 months before surgery were selected and divided into control group and study group by random number table method,with 30 cases in each group.The control group adopted conventional nursing.The study group adopted early warning nursing under the concept of rapid recovery,the Caprini Deep Vein Thrombosis Risk Assessment Form was used to dynamically master the patient's condition,and all-round management from basic prevention,physical prevention and drug prevention were carried out.The coagulation function indexes,thrombotic events,short form-36(SF-36)score of quality of life and patient satisfaction were compared between the two groups.Results:The levels of hemoglobin(Hb),fibrinogen(FIB),blood platelet count(BPC),prothrombin time(PT),D-dimer(D-D)and fibrinogen/fibrin degradation products(FDP)in the two groups after intervention were significantly better than those before intervention,and the data of Hb,FIB,BPC,PT,D-D and FDP levels in the study group were better than those in the control group,and the differences between the groups were statistically significant(t=2.417,t=9.342,t=8.322,t=8.191,t=8.194,t=5.343 The postoperative ecchymosis area of limb of the study group was(1.88±0.21)cm^(2),which was significantly lower than of the control group,and the difference between the groups was statistically significant(t=7.097,P<0.05).The incidence rate of thrombotic events and other complications were 3.3%and 6.6%,respectively,which were significantly lower than those in the control group,and the difference between the groups was statistically significant(x^(2)=6.405,x^(2)=4.320;P<0.05).The SF-36 score of the study group after the intervention was(92.32±3.14),which was s

关 键 词：经皮冠状动脉介入术(PCI) 快速康复理念 预警性护理 肺癌手术 血栓 

分 类 号：R734.2[医药卫生—肿瘤]