首页|低分子肝素钙在中重度烧伤患者静脉血栓形成的预防作用与护理满意度分析

低分子肝素钙在中重度烧伤患者静脉血栓形成的预防作用与护理满意度分析

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目的 探究低分子肝素钙对中重度烧伤患者静脉血栓形成的预防作用.方法 选取台州恩泽医疗中心(集团)恩泽医院2016年3月~2017年3月收治的64例下肢烧伤合并SIRS患者为研究对象,所有患者均接受每天1次皮下注射2850 U(0.3 mL)低分子量肝素钙治疗,连续注射10 d.对照组在前述治疗基础上按常规方法护理,观察组患者接受护理干预,比较2组患者深静脉血栓形成发生率与护理满意度.结果 FIB、血D-二聚体在治疗后7d均有不程度改善(P<0.05);患者PT、APTT均在治疗后7 d呈不同程度升高(P<0.05);治疗后14 d FIB水平均明显低于治疗后1 d、7 d;观察组深静脉血栓形成发生率显著低于对照组;观察组护理满意率高于对照组(P<0.05).结论 予以中重度烧伤SIRS后血液高凝状态患者皮下注射低分子量肝素钙能有效预防深静脉血栓形成,辅之护理干预有助于促进患者康复,提高护理满意度.
Preventive effect of low molecular weight heparin calcium on venous thrombosis in patients with moderate to severe burn and analysis of nursing satisfaction
Objective To explore the preventive effect of low molecular weight heparin calcium in severe burn patients with venous thrombosis. Methods 64 patients of lower extremity burns complicated by systemic inflammatory response in Taizhou Enze medical center (Group) Enze hospital from March 2016 to 2017 March as the research object, were received once daily subcutaneous injection of 2850 U (0.3 mL) low molecular weight heparin calcium treatment, continuous injection of 10 d. The control group was given the routine nursing on the basis treatment, the observation group was given nursing intervention, the incidence rate of deep venous thrombosis and nursing satisfaction rate were compared between two groups. Methods FIB and blood D-dimer in the seventh day after treatment were improved (P<0.05) , PT and APTT in the seventh day after treatment were increased (P<0.05) , the level of FIB in the seventeenth day after treatment was significantly lower than the first day and the seventh day. The incidence of deep vein thrombosis in the observation group was significantly lower than the control group, nursing satisfaction rate in the observation group was higher than the control group, the difference was statistically significant (P<0.05). Conclusion Subcutaneous injection of low molecular weight heparin calcium in patients who are in high blood coagulation state after moderately severe burns SIRS can effectively prevent deep venous thrombosis, auxiliary nursing intervention is helpful to promote the rehabilitation of patients and improve nursing satisfaction.

moderate and severe burnslow molecular weight heparin calciumdeep vein thrombosisnursing satisfaction

郑灵芝、王灵华

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台州恩泽医疗中心(集团)恩泽医院 烧伤整形科,浙江 台州 318000

台州恩泽医疗中心(集团)恩泽医院新生儿科,浙江 台州 318000

中重度烧伤 低分子量肝素钙 深静脉血栓 护理满意度

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(10)
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