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目的研究血栓弹力图(TEG)在胃癌患者术后护理中的应用。方法纳入70例于2012年3月~2016年3月期间行手术治疗的胃癌患者,根据术后应用TEG检测凝血功能与否,随机分为对照组(n=35)和观察组(n=35),对照组术后给予常规凝血指标监测+常规护理,观察组在对照组基础上给予TEG态监测与对症护理,比较两组凝血指标变化、及深静脉血栓形成(DVT)的发生率。结果护理干预后,凝血指标与TEG均显示观察组凝血功能的高凝状态逆转,观察组DVT发生率为5.74%,对照组为25.71%(P<0.05)。结论 TEG应用于胃癌患者术后护理,可有效监测其凝血功能变化,对患者凝血功能恢复和并发症的预防具有重要指导意义。
Objective To study the application of thromboelastography (TEG) in postoperative care of patients with gastric cancer. Methods Totally 70 patients with gastric cancer who underwent surgery from March 2012 to March 2016 were enrolled in this study. Twenty patients with gastric cancer were randomly divided into control group (n = 35) and observation group (n = 35) ). The control group was given routine blood coagulation monitoring and routine nursing. The observation group was given TEG monitoring and symptomatic nursing care on the basis of the control group. The changes of blood coagulation index and the incidence of deep venous thrombosis (DVT) were compared between the two groups. Results After nursing intervention, coagulation index and TEG showed reversal of hypercoagulability in observation group. The incidence of DVT in observation group was 5.74% and that in control group was 25.71% (P <0.05). Conclusion TEG is applied to the postoperative nursing of patients with gastric cancer, which can effectively monitor the changes of coagulation function and has important guiding significance for the recovery of coagulation and the prevention of complications.