活体水蛭疗法联合基础预防、物理预防在重型颅脑损伤患者术后护理中的应用效果分析  

Analysis of Application Effect of Live Leech Therapy Combined with Basic Prophylaxis and Physical Prophylaxis in Postoperative Nursing of Patients with Severe Craniocerebral Injury

作　　者：黄颖 韦永萍 庞玲 黄玉婷 岑凤珍 张立 麦洁容 Huang Ying;Wei Yongping;Pang Ling;Huang Yuting;Cen Fengzhen;Zhang Li;Mai Jierong(Guangxi International Zhuang Medicine Hospital,Nanning 530000,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]广西国际壮医医院,广西壮族自治区南宁530000

出　　处：《中国社区医师》2025年第2期129-131,共3页Chinese Community Doctors

基　　金：2022年广西壮族自治区中医药管理局自筹经费科研项目(编号:GXZYA20220169)。

摘　　要：目的:探讨活体水蛭疗法联合基础预防、物理预防在重型颅脑损伤患者术后护理中的应用效果。方法:选取2022年7月-2024年5月广西国际壮医医院收治的重型颅脑损伤患者100例作为研究对象,随机分为对照组和观察组,各50例。对照组实施基础预防和物理预防,观察组在对照组基础上联合活体水蛭疗法。比较两组护理效果。结果:术后35 d,两组D-二聚体、纤维蛋白原水平低于术后7 d,且观察组低于对照组(P<0.05);两组活化部分凝血活酶时间、凝血酶原时间、凝血酶时间短于术后7 d,且观察组短于对照组(P<0.05)。观察组大腿腿围差大于对照组,深静脉血栓形成发生率低于对照组(P<0.05)。观察组总满意度高于对照组(P=0.002)。结论:活体水蛭疗法联合基础预防、物理预防在重型颅脑损伤患者术后护理中的应用效果显著,可改善凝血功能,减轻下肢水肿症状,降低深静脉血栓形成发生率,提高患者满意度。Objective:To explore the application effect of live leech therapy combined with basic prophylaxis and physical prophylaxis in postoperative nursing of patients with severe craniocerebral injury.Methods:A total of 100 patients with severe craniocerebral injury admitted to Guangxi International Zhuang Medicine Hospital from July 2022 to May 2024 were selected as the study subjects.They were randomly divided into the observation group and the control group,with 50 cases in each group.The control group implemented basic prophylaxis and physical prophylaxis,while the observation group implemented live leech therapy on the basis of the control group.The nursing effect was compared between the two groups.Results:The levels of D-dimer and fibrinogen in the two groups on 35 d after surgery were lower than those on 7 d after surgery,and the levels in the observation group were lower than those in the control group(P<0.05).The activated partial thromboplastin time,prothrombin time and thrombin time in the two groups on 35 d after surgery were shorter than those on 7 d after surgery,and the time the observation group was shorter than that in the control group(P<0.05).The difference in thigh circumference in the observation group was greater than that in the control group,and the incidence of deep vein thrombosis in the observation group was lower than that in the control group(P<0.05).The total satisfaction degree in the observation group was higher than that in the control group(P=0.002).Conclusion:The application of live leech therapy combined with basic prophylaxis and physical prophylaxis in the postoperative nursing of patients with severe craniocerebral injury has a significant effect,and can improve blood coagulation function,relieve the symptoms of lower limb edema,reduce the incidence of deep vein thrombosis,and improve patient satisfaction.

关 键 词：重型颅脑损伤 活体水蛭疗法 基础预防 物理预防 深静脉血栓 

分 类 号：R248.2[医药卫生—中医临床基础]