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目的探讨骨盆骨折患者下肢静脉血栓(DVT)形成与麻醉方式的关系及护理干预。方法选择2015年1月~2017年1月于我院就诊的100例骨盆骨折患者作为研究对象,随机分为硬膜外麻醉组50例,全麻组50例。全麻组手术时采取全麻。硬膜外麻醉组手术时采取硬膜外麻醉。比较不同麻醉方式患者DVT发生率,血栓标志物和凝血功能指标的变化。结果硬膜外麻醉组DVT总发生率明显低于全麻组比较(8.00%vs28.00%)(P<0.05);硬膜外麻醉组PT、a PTT、TT、Fbg、D-D、v WF水平均属正常范围,而全麻组PT、a PTT、TT降低,D-D、v WF升高(P均<0.05)。结论骨盆骨折患者行骨盆骨折手术时,采用硬膜外麻醉方式更能降低术后下肢DVT的形成。
Objective To investigate the relationship between the formation of lower extremity venous thrombosis (DVT) and anesthesia in patients with pelvic fracture and nursing intervention. Methods One hundred patients with pelvic fracture who were treated in our hospital from January 2015 to January 2017 were selected and randomly divided into epidural anesthesia group (50 cases) and general anesthesia group (50 cases). General anesthesia group to take general anesthesia. Epidural anesthesia group to take epidural anesthesia. The incidences of DVT, thrombus markers and coagulation indices in patients undergoing anesthesia were compared. Results The total incidence of DVT in epidural anesthesia group was significantly lower than that in general anesthesia group (8.00% vs 28.00%, P <0.05). PT, PTT, TT, Fbg, DD, (P <0.05). However, the PT, PTT, TT decreased and DD, vWF increased in general anesthesia group (all P <0.05). Conclusion In patients with pelvic fractures undergoing pelvic fracture surgery, the use of epidural anesthesia can reduce the formation of postoperative lower extremity DVT.