论文部分内容阅读
目的探究综合护理干预措施在经耻骨后前列腺癌根治术后并发深静脉血栓形成(DVT)的临床应用效果。方法选择2015年12月至2016年12月期间的126例行经耻骨后前列腺癌根治术的男性患者,根据数字表法随机分为实验组和对照组,每组各63例。对照组采取常规的临床护理;实验组在常规护理的基础上采取综合护理干预措施。对两组患者护理后进行两组DVT发生率与同型半胱氨酸(Hcy)、脂蛋白(a)[LP(α)]、D二聚体、纤维蛋白原(Fbg)、抗凝蛋白和血小板参数等作比较。结果实验组的DVT发生率低于对照组(P<0.05)。实验组的Hcy、Lp(a)、D-D和Fbg水平均低于对照组(P<0.05)。与对照组比较显示,实验组的AT、PS和PC水平均显著降低(<0.05);在血小板参数比较中显示,实验组显著的高于对照组(P<0.05)。实验组患者对护理总满意率为98.41%,显著的高于对照组(84.13%)(P<0.05)。结论耻骨后前列腺癌根治术存在DVT并发症的危险因素,通过采取综合护理干预措施提前进行预防可有效降低术后下肢DVT的发生率。
Objective To investigate the clinical effect of comprehensive nursing intervention on deep venous thrombosis (DVT) after radical prostatectomy of the pubis. Methods A total of 126 male patients undergoing radical retropubic prostatectomy from December 2015 to December 2016 were randomly divided into experimental group and control group according to digital table method, with 63 cases in each group. The control group to take conventional clinical care; experimental group on the basis of routine care to take comprehensive nursing interventions. After two groups of patients were treated with two sets of DVT incidence and homocysteine (Hcy), lipoprotein (a) [LP (α)], D dimer, fibrinogen (Fbg), anticoagulant protein and Platelet parameters for comparison. Results The incidence of DVT in experimental group was lower than that in control group (P <0.05). The levels of Hcy, Lp (a), D-D and Fbg in the experimental group were lower than those in the control group (P <0.05). Compared with the control group, the levels of AT, PS and PC in the experimental group were significantly decreased (P <0.05); in the comparison of platelet parameters, the experimental group was significantly higher than the control group (P <0.05). The total satisfaction rate of patients in the experimental group was 98.41%, significantly higher than that of the control group (84.13%) (P <0.05). Conclusions There are risk factors for complications of DVT after radical prostatectomy. Preventive treatment with comprehensive nursing intervention can effectively reduce the incidence of postoperative DVT.