骨科肝素诱导血小板减少症的预防及护理干预

Prevention and nursing intervention of heparin induced throm-bocytopenia in department of orthopedics

目的:探讨骨科肝素诱导血小板减少症的预防及护理干预措施。方法:收治骨科肝素治疗患者421例,分为两组。对照组给予常规护理,观察组在常规护理基础上给予综合护理,比较两组血小板减少的发生率、静脉血栓的发生率。结果:对照组发生肺栓塞1例。观察组血小板计数<50×109/L发生率1.02%,显著低于对照组,差异有统计学意义(P<0.05)。结论:预见性医疗护理措施可以减少肝素诱导血小板减少症的不良结局。

Objective：To explore the prevention and nursing intervention measures of heparin induced throm-bocytopenia in department of orthopedics.Methods：421 cases of patients treated with heparin in department of orthopedics were divided into two groups.The control group was given routine nursing,while the observation group was given comprehensive nursing on the basis of routine nursing.The incidence of thrombocytopenia and incidence of venous thrombosis between groups were compared.Results：There were one case of pulmonary embolism in the control group.The incidence of platelet count 50×10^9/L in the observation group was 1.02%,which was significantly lower than that of the control group,and the difference was statistically significant（P〈0.05）.Conclusion：Foreseeable medical care measures could reduce the adverse outcome of heparin induced throm-bocytopenia.