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目的胸外科患者围术期应用肺功能康复训练与低分子肝素防治术后急性肺栓塞的临床效果分析。方法从该院2015年9月—2017年3月收治的胸外科患者中抽取出40例,随机分为对照组和观察组各20例,对照组患者进行肺功能康复训练,观察组患者进行肺功能康复训练与低分子肝素防治,观察和记录两组患者的住院时间、术后的心电监护时间、胸腔引流量、留置引流管时间、急性PE发生率、术后肺部并发症、用药不良反应、PT(凝血酶时间)、Fib(纤维蛋白原)、PLT(血小板计数)和D-D(D-二聚体)及手术前后肺功能。结果两组患者在住院时间、术后的心电监护时间、胸腔引流量、留置引流管时间、术后肺部并发症中的比较,差异无统计学意义(P>0.05)。在术后,观察组的Fib(纤维蛋白原)、D-D(D-二聚体)、急性PE发生率明显小于对照组,差异有统计学意义(P<0.05)。结论对胸外科患者在围术期应用肺功能康复训练与低分子肝素防治可以明显降低Fib(纤维蛋白原)、D-D(D-二聚体),减少与防止发生急性PE,值得临床推广应用。
Objective To evaluate the clinical effect of perioperative pulmonary function rehabilitation training and low molecular weight heparin in prevention and treatment of acute pulmonary embolism after thoracic surgery. Methods Forty patients with thoracic surgery admitted from September 2015 to March 2017 in our hospital were randomly divided into control group and observation group with 20 cases in each. Patients in the control group received pulmonary function rehabilitation training, and patients in the observation group received pulmonary Functional rehabilitation training and prevention and treatment of low molecular weight heparin. The length of hospital stay, postoperative ECG monitoring time, chest drainage, indwelling drainage tube time, incidence of acute PE, postoperative pulmonary complications, poor medication PT, thrombin time, fibrinogen, PLT and DD (D-dimer), and pulmonary function before and after surgery. Results There was no significant difference between the two groups in hospitalization time, postoperative ECG monitoring time, chest drainage, indwelling drainage tube time and postoperative pulmonary complications. After operation, the incidences of Fib (fibrinogen), D-D (D-dimer) and acute PE in the observation group were significantly lower than those in the control group (P <0.05). Conclusion Perioperative pulmonary function rehabilitation training and low molecular weight heparin prevention and treatment can significantly reduce Fib (fibrinogen), D-D (D-dimer) in patients with thoracic surgery and reduce and prevent the occurrence of acute PE, which deserves clinical application.