外伤性脾切除术后合并急性肺栓塞患者的急救护理  

Emergency Nursing Care for Patients with Acute Pulmonary Embolism Following Traumatic Splenectomy

作　　者：高淑秀 赵军瑞 董佳佳 GAO Shuxiu;ZHAO Junrui;DONG Jiajia(Operating Room,Affiliated Hospital of Binzhou Medical College,Binzhou 256600,China;Department of Critical Care Medicine,Affiliated Hospital of Binzhou Medical College,Binzhou 256600,China)

机构地区：[1]滨州医学院附属医院手术室,山东滨州256600 [2]滨州医学院附属医院重症医学科,山东滨州256600

出　　处：《中华灾害救援医学》2024年第8期969-971,共3页Chinese Journal of Disaster Medicine

基　　金：中国民办教育协会2022年度规划课题(学校发展类)(CANFZG22329)。

摘　　要：目的分析对外伤性脾切除术后合并急性肺栓塞患者采用不同急救护理模式的临床效果。方法回顾性收集2021年7月至2023年7月滨州医学院附属医院收治的98例外伤性脾切除合并急性肺栓塞患者的临床资料,根据急救护理方式的不同,分为试验组(采用预防性急救护理)与对照组(采用常规急救护理),每组各49例。对比两组患者的抢救时间、抢救效率及护理满意度。结果试验组入院到治疗时长、手术时长均比对照组短,差异有统计学意义(P<0.001)。两组患者干预前平均动脉压、凝血酶原时间(Prothrombin Time,PT)无显著差异(P>0.05);两组患者干预后平均动脉压均降低,且试验组干预后平均动脉压显著低于对照组(P<0.001);两组患者干预后PT均延长,且试验组干预后PT显著长于对照组(P<0.001)。另外,试验组的抢救成功率与护理满意度也显著高于对照组(P<0.05)。结论预防性急救护理可有效缩短外伤性脾切除合并急性肺栓塞患者的抢救时间,改善凝血功能,提高抢救效率和护理满意度。Objective To analyze the effects of different emergency nursing modes on patients with post-traumatic splenectomy complicated by acute pulmonary embolism(PE).Methods A retrospective analysis was conducted on the clinical data of 98 patients with post-traumatic splenectomy complicated by acute PE admitted to the Affiliated Hospital of Binzhou Medical College from July 2021 to July 2023.The patients were divided into the experimental group(routine emergency care)and the control group(preventive emergency care)based on the emergency nursing approaches.The rescue time,rescue efficiency,and nursing satisfaction were compared between the groups.Results The time from admission to treatment and the duration of surgery were significantly shorter in the experimental group compared to the control group(P<0.001).There were no significant differences in mean arterial pressure(MAP)and prothrombin time(PT)between the two groups before intervention(P>0.05).After intervention,MAP decreased in both groups,with a significantly lower MAP observed in the experimental group compared to the control group(P<0.001).PT was prolonged in both groups post-intervention,with the experimental group showing a significantly longer PT compared to the control group(P<0.001).The rescue success rate was significantly higher in the experimental group than that in the control group(P<0.05).Nursing satisfaction was also significantly higher in the experimental group compared to the control group(P<0.05).Conclusion Preventive emergency nursing can effectively shorten the rescue time,improve coagulation function,and enhance rescue efficiency and nursing satisfaction in patients with post-traumatic splenectomy complicated by acute PE.

关 键 词：脾破裂 脾切除术 肺栓塞 急救 护理 

分 类 号：R473.6[医药卫生—护理学]