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目的:对比常规护理与综合护理在前列腺电切手术中对患者凝血指标影响的差异,探讨术中综合护理预防下肢深静脉血栓形成的应用价值。方法:回顾性分析2014年1月至2016年3月南方医科大学附属顺德第一人民医院收治的160例采用前列腺电切手术治疗前列腺增生的男性患者的临床资料,根据护理措施的不同分为观察组(综合护理,85例)和对照组(常规护理,75例),比较两组术毕、术后24、72 h血小板计数、活化部分凝血活酶时间、纤维蛋白原、凝血酶凝固时间、凝血酶原时间等指标。结果:两组术前及术毕时凝血指标比较,差异无统计学意义(P>0.05),两组术后24、72 h凝血指标比较,差异有统计学意义(P<0.05),两组术后血小板计数及纤维蛋白原均升高、活化部分凝血活酶时间、凝血酶凝固时间及凝血酶原时间减少,但观察组变化幅度明显小于对照组(P<0.05)。结论:采用综合保温及抗血栓感应压力系统的综合护理措施,可以改善前列腺电切术患者凝血功能,有效预防术后下肢深静脉血栓形成。
OBJECTIVE: To compare the difference of coagulation index between routine nursing and general nursing in patients undergoing prostatectomy, and to explore the value of comprehensive nursing in preventing deep venous thrombosis of lower extremity. Methods: A retrospective analysis was performed on the clinical data of 160 male prostatectomy patients who underwent prostatectomy for benign prostatic hyperplasia from January 2014 to March 2016 in Shunde First People’s Hospital, Southern Medical University. According to the different nursing measures, (N = 85) and control group (n = 75). The platelet count, activated partial thromboplastin time, fibrinogen, thrombin clotting time, Prothrombin time and other indicators. Results: There was no significant difference in coagulation index between the two groups before and after surgery (P> 0.05). There was significant difference in coagulation index between the two groups 24 and 72 h after operation (P <0.05) Postoperative platelet count and fibrinogen were elevated, activated partial thromboplastin time, thrombin clotting time and prothrombin time decreased, but the observation group was significantly smaller than the control group (P <0.05). Conclusion: The comprehensive nursing measures of integrated thermal insulation and anti-thrombus induction pressure system can improve the coagulation function of patients undergoing prostatectomy and effectively prevent postoperative deep vein thrombosis.