预警监控指导临床护理干预在介入溶栓治疗下肢深静脉栓塞中的应用价值

Application Value of Early Warning Monitoring Guided Clinical Nursing Intervention in Interventional Thrombolytic Therapy for Deep Vein Thrombosis of Lower Extremity

目的:探讨预警监控指导临床护理干预在介入溶栓治疗下肢深静脉栓塞(DVT)中的应用价值。方法:随机数表法将河池市人民医院2020年8月-2021年8月80例DVT患者分为观察组和对照组,每组40例。两组患者均接受介入溶栓治疗,对照组采用介入溶栓治疗常规护理措施,观察组在对照组的基础上应用预警监控指导行临床护理干预。比较两组干预前后生活质量评分、凝血功能指标及下肢静脉血流速度;比较两组并发症的发生率。结果:干预前,两组各项生活质量评分、凝血功能指标、下肢静脉血流速度比较,差异无统计学意义(P>0.05);干预后2周,两组各项生活质量评分和下肢静脉血流速度均提高,且观察组明显高于对照组(P<0.05);干预后2周,两组D-二聚体及FIB水平均降低,APTT、PT水平升高,且观察组显著优于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率为12.25%,显著低于对照组的35.00%,差异有统计学意义(P<0.05)。结论:预警监控指导临床护理干预对介入溶栓治疗DVT患者效果显著,可改善患者生活质量、凝血功能和下肢静脉血流速,减少并发症发生。

Objective:To investigate the application value of early warning monitoring guided clinical nursing intervention in interventional thrombolytic therapy for deep vein thrombosis (DVT) of lower extremity.Method:A total of 80 patients with DVT who underwent interventional thrombolytic therapy in Hechi People’s Hospital from August 2020 to August 2021 were divided into observation group and control group by using random number table method,with 40 patients in each group.The control group received conventional nursing,while the observation group received early warning monitoring guided clinical nursing intervention.The quality of life scores,coagulation function indicators,venous blood flow velocity of lower extremities before and after intrevention were compared between the two groups,and the incidence of complications were compared between the two groups.Result:Before the intervention,there were no statistically significant differences in quality of life scores,coagulation function indicators,and venous blood flow velocity of lower extremities between the two groups (P>0.05).Two weeks after intervention,quality of life scores and venous blood flow velocity of lower extremities were increased in the two groups,quality of life scores and venous blood flow velocity of lower extremities of observation group were significantly higher than those of the control group (P<0.05).Two weeks after intervention,D-dimer and FIB levels in both groups decreased,APTT,PT levels increased,and the observation group was significantly better than the control group,the differences were statistically significant (P<0.05).The total incidence of complications in observation group was 12.25%,which was significantly lower than 35.00% in the control group,the difference was statistically significant (P<0.05).Conclusion:Early warning monitoring guided clinical nursing intervention has a significant effect on patients with interventional thrombolytic therapy of DVT,which can improve patients’ quality of life,coagulation function and lower limb venous blood flow rate,and reduce complications.