基于Caprini血栓风险评估模型的分阶段护理干预对颅内动脉瘤术后患者血栓形成及血小板活性状态的影响  

Effects of staged nursing intervention based on Caprini thrombosis risk assessment model on thrombosis and platelet activity in patients after intracranial aneurysm surgery

作　　者：赵玲玲 武瑞敏 ZHAO Lingling;WU Ruimin(Xi'an Honghui Hospital,Xi'an 710068,China)

机构地区：[1]西安市红会医院,陕西西安710068

出　　处：《临床医学研究与实践》2024年第28期139-142,共4页Clinical Research and Practice

摘　　要：目的 探究基于Caprini血栓风险评估模型的分阶段护理干预对颅内动脉瘤术后患者血栓形成及血小板活性状态的影响。方法 选择2019年2月至2022年5月我院收治的80例颅内动脉瘤术后患者作为研究对象,以随机数字表法将其分为对照组和观察组,每组40例。对照组接受常规护理,观察组在对照组基础上加施基于Caprini血栓风险评估模型的分阶段护理干预。比较两组的干预效果。结果 观察组的深静脉血栓发生率为2.50%,低于对照组的15.00%(P<0.05)。干预后,观察组的血小板计数(PLT)、血小板分布宽度(PDW)及血小板聚集率(PAR)低于对照组(P<0.05)。干预后,观察组的大脑前动脉(ACA)、大脑后动脉(PCA)以及大脑中动脉(MCA)血流速度均高于对照组(P<0.05)。结论 基于Caprini血栓风险评估模型的分阶段护理干预用于颅内动脉瘤术后护理中,可改善血小板活性状态及脑血流速度,减少血栓形成,值得推广。Objective To explore the effects of staged nursing intervention based on Caprini thrombosis risk assessment model on thrombosis and platelet activity in patients after intracranial aneurysm surgery.Methods A total of 80 patients after intracranial aneurysm surgery admitted in our hospital from February 2019 to May 2022 were selected as the research objects.The patients were divided into control group and observation group by random number table method,with 40 cases in each group.The control group received routine nursing,and the observation group received staged nursing intervention based on Caprini thrombosis risk assessment model on the basis of the control group.The intervention effects of the two groups were compared.Results The incidence of deep vein thrombosis in the observation group was 2.50%,which was lower than 15.00%in the control group(P<0.05).After intervention,the platelet count(PLT),platelet distribution width(PDW)and platelet aggregation rate(PAR)in the observation group were lower than those in the control group(P<0.05).After intervention,the blood flow velocities of anterior cerebral artery(ACA),posterior cerebral artery(PCA)and middle cerebral artery(MCA)in the observation group were higher than those in the control group(P<0.05).Conclusion The staged nursing intervention based on Caprini thrombosis risk assessment model for postoperative nursing of intracranial aneurysms can improve platelet activity and cerebral blood flow velocity,reduce thrombosis,which is worthy of promotion.

关 键 词：Caprini血栓风险评估模型 分阶段护理干预 颅内动脉瘤手术 血栓形成 血小板活性状态 

分 类 号：R473[医药卫生—护理学]