急性下肢动脉血栓栓塞症的溶栓治疗及护理

Thrombolytic Therapy and Nursing care of Patients with Acute Lower Extremity Arterial Thromboembolism

目的观察急性下肢动脉血栓栓塞症(ATE)溶栓治疗的护理效果。方法以2015年5月—2016年4月我院收治的67例急性下肢ATE患者为研究对象,随机法分为对照组(32例)及实验组(35例),两组患者入院后均实施介入导管溶栓治疗及常规护理干预,实验组另实施综合性护理干预,观察护理干预后两组凝血功能变化,溶栓相关指标[溶栓时间、溶栓效果],不良情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]。结果护理干后实验组凝血功能改善、SAS、SDS评分明显降低,变化较对照组明显(P<0.05);护理干预后与对照组相较,实验组溶栓时间明显短,溶栓总疗效明显高(P<0.05)。结论介入导管溶栓术是急性ATE患者有效治疗方案,而在患者围术期实施综合性护理干预,可有效调节患者凝血功能,明显减轻焦虑、抑郁情绪,并提高溶栓总疗效。

Objective To observe the nursing effect of thrombolytic therapy for acute lower extremity arterial thromboembolism（ATE）.Methods 67 patients with acute lower extremity ATE admitted in our hospital from May 2015 to April 2016 were randomly divided into control group（n = 32） and experimental group（n = 35）.The patients in both groups were treated with interventional catheter thrombolysis and routine nursing intervention after admission.The experimental group was also given comprehensive nursing intervention.The changes of coagulation function,thrombolytic time,thrombolytic effect,bad emotion,self rating anxiety scale（SAS） and depression scale（SDS） were observed in the two groups after nursing intervention..Results After nursing,the scores of SAS、SDS in the experimental group were significantly lower than those in the control group（P〈0.05）,the time of thrombolysis in the experimental group was significantly shorter than that in the control group（P〈0.05）,and the total effect of thrombolytic therapy was significantly higher than that in the control group（P〈0.05）.Conclusion Interventional catheter thrombolysis is an effective treatment for patients with acute ATE,and comprehensive nursing intervention in perioperative period can effectively regulate the coagulation function of patients,relieve anxiety and depression,and improve the total efficacy of thrombolytic therapy.