流程化VTE预防质量控制管理在妇科恶性肿瘤患者围术期血栓预防中的应用效果  

Application effect of procedural VTE prevention quality control management in perioperative thrombosis prevention of patients with gynecological malignant tumor

作　　者：刘红杰 张凯[1] 刘秋瑾[1] 郭迎迎 边蓉蓉 侯丽超 LIU Hongjie;ZHANG Kai;LIU Qiujin;GUO Yingying;BIAN Rongrong;HOU Lichao(Adult Intensive Care Medicine Department,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第三附属医院成人重症医学科,河南郑州450052

出　　处：《临床医学研究与实践》2024年第14期156-159,共4页Clinical Research and Practice

摘　　要：目的探讨流程化静脉血栓栓塞症(VTE)预防质量控制管理在妇科恶性肿瘤患者围术期血栓预防中的应用效果。方法选取2019年5月至2022年5月我院收治的70例妇科恶性肿瘤患者,按照干预方案不同将其分为对照组和研究组,各35例。对照组给予常规管理,研究组开展流程化VTE预防质量控制管理。比较两组的下肢静脉血流速度、疼痛评分、下肢静脉血栓发生情况、凝血功能指标及知信行(KAP)评分。结果干预前,两组的下肢静脉血流速度及视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);干预后,研究组的下肢静脉血流速度大于对照组,VAS评分低于对照组,差异具有统计学意义(P<0.05)。研究组的下肢静脉血栓发生率低于对照组,差异具有统计学意义(P<0.05)。干预前,两组的凝血酶原时间、纤维蛋白原、D-二聚体水平及血小板计数比较,差异无统计学意义(P>0.05);干预后,研究组的凝血酶原时间长于对照组,纤维蛋白原、D-二聚体水平及血小板计数低于对照组,差异具有统计学意义(P<0.05)。研究组的KAP各维度评分高于对照组,差异具有统计学意义(P<0.05)。结论流程化VTE预防质量控制在妇科恶性肿瘤患者围手术期中的应用效果显著,能够改善凝血功能,加速下肢静脉血流速度,缓解疼痛,并提高患者的知信行水平,值得临床推广和应用。Objective To explore the application effect of procedural venous thromboembolism(VTE)prevention quality control management in perioperative thrombosis prevention in patients with gynecological malignant tumors.Methods A total of 70 patients with gynecological malignant tumors admitted in our hospital from May 2019 to May 2022 were selected and divided into control group and study group according to different intervention schemes,with 35 cases in each group.The control group was given routine management,and the study group carried out procedural VTE prevention quality control management.The lower extremity venous blood flow velocity,pain score,occurence of lower extremity venous thrombosis,coagulation function indexes and Knowledge-Attitude-Practice(KAP)score were compared between the two groups.Results Before intervention,there were no significant differences in lower extremity venous blood flow velocity and Visual Analogue Scale(VAS)score between the two groups(P>0.05);after intervention,the lower extremity venous blood flow velocity of the study group was higher than that of the control group,the VAS score was lower than that of the control group,and the differences were statistically significant(P<0.05).The incidence of lower extremity venous thrombosis in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in prothrombin time,fibrinogen,D-dimer levels and platelet count between the two groups(P>0.05);after intervention,the prothrombin time of the study group was longer than that of the control group,the levels of fibrinogen,D-dimer and platelet count were lower than those of the control group,and the differences were statistically significant(P<0.05).The scores of each dimension of KAP in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The procedural VTE prevention quality control management in perioperative th

关 键 词：妇科 恶性肿瘤 流程化静脉血栓栓塞症预防质量控制管理 血流速度 下肢静脉血栓 疼痛 

分 类 号：R473[医药卫生—护理学]