围手术期强化护理降低肺癌患者术后血栓栓塞事件发生的疗效分析

Analysis of the effect of perioperative intensive nursing on reducing the incidence of postoperative thromboembolism in patients with lung cancer

目的:分析肺癌患者围术期内行强化护理干预在预防术后血栓栓塞时间中疗效。方法:选取2017年8月至2020年8月期间我院接收治疗的72例手术治疗肺癌患者,采取随机分组,行强化护理干预命名为强化组,行常规护理干预命名为常规组。结果:强化组tPA(0.71±0.22)IU·mL、D-D(0.40±0.19)mg/L、PLT(164.28±15.24)×10^(9)/L等指标均低于常规组(1.05±0.31)IU·mL、(0.64±0.17)mg/L、(184.73±17.63)×10^(9)/L,差异存在统计学意义(P<0.05);强化组DTV发生率2.78%、PE发生率2.78%、其他并发症发生率2.78%均低于常规组22.22%、25.00%、16.67%,差异存在统计学意义(P<0.05);强化组FEV1、FVC等肺功能指标均优于常规组,差异存在统计学意义(P<0.05)。结论:肺癌患者围术期内行强化护理干预,可降低血栓栓塞及其他并发症风险,还可改善血液纤溶指标及肺功能指标,值得推广。

Objective:To analyze the effect of intensive nursing intervention in preventing postoperative thromboembolism in patients with lung cancer.Method:August 2017-August 2020,In 72 cases,Surgical treatment of lung cancer,Random grouping,intensive care intervention named intensive group,Routine nursing intervention was named routine group.Results:the indexes of strengthening group tPA(0.71±0.22)IU ml、D-D(0.40±0.19)mg/L、PLT(164.28±15.24)were lower than those of conventional group(1.05±0.31)IU ml、(0.64±0.17)mg/L、(184.73±17.63),the difference was statistically significant(P<0.05);The incidence of DTV,PE and other complications were 2.78%lower than that of conventional group,the difference was statistically significant(P<0.05);FEV1、FVC and other lung function indexes in the intensive group were better than those in the conventional group,the difference was statistically significant(P<0.05).Conclusion:Intensive nursingintervention in patients with lung cancer during perioperative period,Reduce the risk of thromboembolism and other complications,It can also improve blood fibrinolysis and lung function,It’s worth promoting.