目的 分析术中预防性护理干预对结直肠癌手术患者凝血功能、术后下肢深静脉血栓(DVT)形成风险预防效果的影响。 方法 选取2021年6月至2022年6月滨州市中心医院进行结肠癌手术患者154例，根据护理方式不同将患者分为对照组(常规护理，79例)与观察组(常规护理的基础上进行术中预防性护理干预，75例)，比较两组患者凝血功能指标〔D-二聚体(D-D)、纤维蛋白原(Fbg)、凝血酶原时间(PT)〕，观察两组手术前后血小板参数〔血小板计数(PLT)〕，比较两组手术前后下肢深静脉血栓发生率。 结果 两组干预后D-D、Fbg水平下降，且观察组低于对照组，PT水平增高，且观察组高于对照组，差异有统计学意义(P<0。05)；两组干预后PLT水平下降，且观察组低于对照组，差异有统计学意义(P<0。05)；两组干预后DVT发生率均下降，且观察组低于对照组，差异有统计学意义(P<0。05)。 结论 对结直肠癌手术患者进行术中预防性护理干预可以改善患者的凝血功能状态，降低血液浓稠度，减少术后DVT的发生，值得临床推广应用。 Objective To analyze the effects of intraoperative preventive nursing intervention on coagulation function and postoperative risk prevention effect of deep venous thrombosis (DVT) in patients with colorectal cancer surgery。 Methods A total of 154 patients with colon cancer surgery in our hospital from June 2021 to June 2022 were selected， and according to different nursing methods， the patients were divided into control group (routine care， n=79) and observation group (routine care on the basis of Intraoperative preventive nursing intervention， n=75)， the coagulation function indexes[D-dimer (D-D)， fibrinogen (Fbg)， prothrombin time (PT)] were compared between the two groups， and the platelet parameters [platelet count (PLT)] were observed before and after the operation in the two groups， and the incidence of lower extremity deep vein thrombosis of the two groups was compared before and after surgery。 Results After the intervention， the levels of D-D and Fbg in the two groups decreased， and the observation group was lower than the control group， and the PT index level was increased， and the observation group was higher than the control group， and the difference was statistically significant (P<0。05) the level of PLT in the two groups decreased after the intervention， and the observation group was lower than the control group， and the difference was statistically significant (P<0。05) the incidence of DVT in the two groups decreased after intervention， and the observation group was lower than the control group， and the difference was statistically significant (P<0。05)。 Conclusions Intraoperative preventive nursing intervention can improve the coagulation function status of colorectal cancer surgery patients， reduce blood consistency， and decrease the occurrence of postoperative DVT， and clinical promotion is of great significance。
Effects of intraoperative preventive nursing intervention on coagulation function and the preventive effect of postoperative deep venous thrombosis risk of patients with colorectal cancer surgery
Objective To analyze the effects of intraoperative preventive nursing intervention on coagulation function and postoperative risk prevention effect of deep venous thrombosis (DVT) in patients with colorectal cancer surgery. Methods A total of 154 patients with colon cancer surgery in our hospital from June 2021 to June 2022 were selected, and according to different nursing methods, the patients were divided into control group (routine care, n=79) and observation group (routine care on the basis of Intraoperative preventive nursing intervention, n=75), the coagulation function indexes[D-dimer (D-D), fibrinogen (Fbg), prothrombin time (PT)] were compared between the two groups, and the platelet parameters [platelet count (PLT)] were observed before and after the operation in the two groups, and the incidence of lower extremity deep vein thrombosis of the two groups was compared before and after surgery. Results After the intervention, the levels of D-D and Fbg in the two groups decreased, and the observation group was lower than the control group, and the PT index level was increased, and the observation group was higher than the control group, and the difference was statistically significant (P<0.05) the level of PLT in the two groups decreased after the intervention, and the observation group was lower than the control group, and the difference was statistically significant (P<0.05) the incidence of DVT in the two groups decreased after intervention, and the observation group was lower than the control group, and the difference was statistically significant (P<0.05). Conclusions Intraoperative preventive nursing intervention can improve the coagulation function status of colorectal cancer surgery patients, reduce blood consistency, and decrease the occurrence of postoperative DVT, and clinical promotion is of great significance.
Intraoperative preventive nursing interventionCoagulation functionPostoperative deep vein thrombosis of lower extremity
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