基于改良Caprini风险评估的预见性护理对不同程度创面烧伤患者静脉血栓栓塞症的预防效果

Preventive effect of predictive care based on modified Caprini risk assessment on venous thromboembolism in patients with different degrees of wound burn

目的探讨基于改良Caprini风险评估的预见性护理对不同程度创面烧伤患者静脉血栓栓塞症(VTE)的预防效果。方法将2022年1月至2023年9月浙江省金华市中心医院烧伤科就诊的334例烧伤患者作为研究对象,按非同期队列研究方法将其分为对照组和观察组,对照组(186例)接受Caprini风险评估的常规VTE护理,观察组(148例)接受改良Caprini风险评估的预见性护理。干预后,比较两组VTE发生率、VTE中高危识别率和凝血功能。结果干预后,观察组VTE发生率低于对照组,差异有统计学意义(P<0.05);干预后,观察组VTE中高危识别率高于对照组,差异有统计学意义(P<0.05)。干预后,两组凝血酶原时间(PT)、活化部分凝血酶时间(APTT)短于干预前,纤维蛋白原(FIB)高于干预前,且观察组PT、APTT短于对照组,观察组FIB高于对照组,差异有统计学意义(P<0.05)。结论对于烧伤患者而言,相对于Caprini风险评估的常规VTE护理,改良Caprini风险评估的预见性护理能够更好地预防VTE的发生,改善患者的凝血功能,值得推广使用。

Objective To investigate the preventive effect of predictive care based on modified Caprini risk assessment on venous thromboembolism(VTE)in patients with different degrees of wound burn.Methods A total of 334 burn patients who visited the Department of Burns,Jinhua Central Hospital,Zhejiang Province from January 2022 to September 2023 were selected as research subjects.They were divided into control group and observation group according to non-simultaneous cohort study method.The control group(186 cases)received routine VTE care provided by Caprini risk assessment,the observation group(148 patients)received predictive care based on modified Caprini risk assessment.After intervention,the incidence of VTE,identification rate of high risk VTE,and coagulation function of the two groups were compared.Results After intervention,the incidence of VTE in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).After intervention,the identification rate of high risk VTE in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The prothrombin time(PT)and activated partial thrombin time(APTT)of the two groups were shorter than before intervention,and fibrinogen(FIB)was higher than before intervention,and PT and APTT in observation group were shorter than those in control group,FIB in observation group was higher than that in control group,and the differences were statistically significant(P<0.05).Conclusion For burn patients,compared with routine VTE care based on Caprini risk assessment,predictive care based on modified Caprini risk assessment can better prevent the occurrence of VTE and improve the coagulation function of patients,and is worth promoting.