急性肠系膜血管血栓形成的原因及围术期护理

Causesof Vascular Thrombosis in Acute Intestinal Membranes And Perinatal Careacute Mesenteric Vascular Thrombosis and Perioperative Nursing

目的探讨急性肠系膜血管血栓形成的原因,并给予护理干预。方法以83例肝硬化患者为对象,根据患者是否合并急性肠系膜血管血栓将患者分为血栓组(n=16)和非血栓组(n=67)。分析影响急性肠系膜血管血栓形成的危险因素。结果单因素分析显示血栓组与非血栓组在性别、年龄、高血压、自身免疫性疾病、硬化剂治疗史、白细胞计数、白蛋白水平方面比较无差异(P>0.05)。血栓组糖尿病占比、血红蛋白、血小板水平高于非血栓组(P<0.05)。Logistic回归分析结果显示糖尿病(OR=2.065)、血红蛋白(OR=9.021)、血小板(OR=4.600)为影响急性肠系膜血栓形成的危险因素。结论糖尿病、血小板及血红蛋白均为影响急性肠系膜血管血栓发生的危险因素,应针对危险因素进行有效干预降低该病的发生。

Objective To explore the causes of acute mesenteric vascular thrombosis and give nursing intervention.Methods 83 patients with cirrhosis were divided into thrombus group(n=16)and non thrombus group(n=67)according to whether the patients were complicated with acute mesenteric thrombus.To analyze the risk factors of acute mesenteric vascular thrombosis.Results Single factor analysis showed that there was no difference in sex,age,hypertension,autoimmune diseases,sclerotherapy history,leukocyte count and albumin level between thrombus group and non thrombus group(P>0.05).The percentage of diabetes mellitus,hemoglobin and platelet in thrombus group were higher than those in non thrombus group(P<0.05).The results of logistic regression analysis showed that diabetes mellitus(or=2.065),hemoglobin(or=9.021)and platelet(or=4.600)were the risk factors of acute mesenteric thrombosis.Conclusion Diabetes mellitus,platelet and hemoglobin are the risk factors of acute mesenteric vascular thrombosis,and effective intervention should be carried out to reduce the incidence of this disease.