综合护理在创伤性脾破裂脾切除术后血小板增多症患者中的应用效果

Application Effect of Comprehensive Nursing in Patients with Thrombocytosis After Splenectomy for Traumatic Splenic Rupture

目的:探讨综合护理在创伤性脾破裂脾切除术后血小板增多症患者中的应用效果。方法:选取2018年1月—2022年12月南通市通州区平潮中心卫生院收治的创伤性脾破裂脾切除术后血小板增多症患者60例作为研究对象,采用随机数字表法分为观察组与对照组,各30例。对照组给予常规护理,观察组给予综合护理。比较两组血小板计数、临床指标、血栓发生情况。结果:术后3 d,两组血小板计数均高于术前,但观察组低于对照组,差异有统计学意义(P<0.05)。术后7 d,两组血小板计数均达峰值,但观察组低于对照组,差异有统计学意义(P<0.05)。术后20 d,两组血小板计数低于术后7 d,且观察组低于对照组,差异有统计学有意义(P<0.05)。术后1个月,两组血小板计数低于术后20 d,差异有统计学意义(P<0.05);两组间血小板计数比较,差异无统计学意义(P>0.05)。观察组首次排气时间、首次进食时间、引流管拔除时间早于对照组,差异有统计学有意义(P<0.001)。观察组血栓发生率低于对照组,差异有统计学意义(P=0.001)结论:综合护理在创伤性脾破裂脾切除术后血小板增多症患者中的应用效果显著,可降低血小板计数,降低血栓发生率,促进患者早日康复。

Objective:To explore the application effect of comprehensive nursing in patients with thrombocytosis after splenectomy for traumatic splenic rupture.Methods:A total of 60 patients with thrombocytosis after splenectomy for traumatic splenic rupture ad‑mitted to Nantong City Tongzhou District Pingchao Central Health Center from January 2018 to December 2022 were selected as the study subjects.The patients were divided into an observation group and a control group using a random number table method,with 30 cases in each group.The control group received routine nursing,while the observation group received comprehensive nursing.Blood platelet count,clinical indexes and thrombosis were compared between the two groups.Results:On 3 d after operation,the blood platelet count in the two groups was higher than that before operation,but the count in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).On 7 d after operation,the blood platelet count in the two groups reached the peak,but the count in the observation group was lower than that in the control group,and the difference was statis‑tically significant(P<0.05).On 20 d after operation,the blood platelet count in the two groups was lower than that on 7 d after opera‑tion,and the count in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).At 1 month after operation,the blood platelet count in the two groups was lower than that on 20 d after operation,and the dif‑ference was statistically significant(P<0.05);there was no significant difference in blood platelet count between the two groups(P>0.05).The time of first exhaust,the time of first eating,and the time of drainage tube extraction in the observation group were ear‑lier than those in the control group,and the differences were statistically significant(P<0.001).The incidence of thrombosis in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.001).Conclusion:For patients with thrombocytosis after splenectomy for traumatic splenic rupture,comprehensive nursing has significant application effects and can reduce blood platelet count,decrease the incidence of thrombosis,and promote the recovery of patients.