老年人导管性堵管应用尿激酶时的护理

Nursing care of elderly patients with catheter obstruction by urokinase

目的:探讨老年患者长期使用导管发生导管血栓性堵管时应用尿激酶进行再通的护理措施。方法:选择长期使用导管的发生血栓性堵管的64例老年患者作为临床观察对象,将患者随机分为对照组和观察组,对照组患者采用肝素溶栓再通,观察组患者使用尿激酶溶栓再通,比较两组患者溶栓效果。结果:观察组患者溶栓时间短于对照组,同时溶栓再通率高于对照组,差异具有统计学意义(P<0.05)。结论:使用尿激酶进行溶栓在老年患者长期导管血栓性堵管中有较高成功率和较短溶栓时间,对患者凝血功能影响较小,临床上可积极应用。

Objective:To explore the nursing measures of recanalization with urokinase in elderly patients with catheter thromboembolism caused by long-term use of catheter.Methods:64 elderly patients with thromboembolic duct occlusion were randomly divided into control group and observation group.The control group was treated with heparin thrombolytic recanalization,while the observation group was treated with urokinase thrombolytic recanalization.The thrombolytic effects of the two groups were compared.Results:the time of thrombolysis in the observation group was shorter than that in the control group,and the recanalization rate of thrombolysis was higher than that in the control group(P<0.05).Conclusion:Urokinase thrombolysis has a high success rate and a short thrombolytic time in elderly patients with long-term catheter thromboembolism occlusion.It has little influence on the coagulation function of patients and can be actively applied in clinic.