论文部分内容阅读
目的研究体位联合抗凝对下肢静脉曲张术后凝血的影响。方法选取2016年5月-2017年5月该院收治的50例下肢静脉曲张患者作为此次研究对象,随机分为单一组和联合组,单一组25例患者给予常规护理,联合组25例患者给予体位护理联合抗凝,对两组患者的效果进行比较。结果①在护理前两组患者凝血指标差异无统计学意义(P>0.05);经过护理后,联合组患者凝血指标明显优于对照组患者(P<0.05)。②联合组患者肢体肿胀及皮肤瘀斑发生率明显低于单一组患者(P<0.05)。结论体位联合抗凝对下肢静脉曲张后凝血有着极大的影响,延长了凝血酶原时间及活化部分凝血活酶时间,降低了纤维蛋白原,极大的缓解了血液高凝状态,避免下肢深静脉血栓的形成,值得在临床中广泛推广和使用。
Objective To study the effect of body position and anticoagulation on coagulation after varicose veins of the lower extremity. Methods Fifty patients with varicose veins in our hospital from May 2016 to May 2017 were randomly divided into a single group and a combined group. Twenty-five patients in a single group were given routine care. Twenty-five patients in the combined group Given the position of nursing combined anticoagulation, the effect of two groups of patients were compared. Results ① There was no significant difference in coagulation index between the two groups before nursing (P> 0.05). After nursing, the coagulation index in the combined group was significantly better than that in the control group (P <0.05). ② The incidence of limb swelling and ecchymosis in the combined group was significantly lower than that in the single group (P <0.05). Conclusion The combination of body position and anticoagulation has a great influence on the coagulation after varicose veins of the lower extremities, prolonging the prothrombin time and activating partial thromboplastin time, reducing fibrinogen, greatly ameliorating the hypercoagulable state of the blood and avoiding the lower limbs deep The formation of venous thrombosis, it is worth widely in clinical practice and use.