中国现代医生杂志欢迎您.   今天是:          
吴文晓1 洪 都2 顾庆香3 陆 萍4.空气压力波联合低分子肝素钙对COPD急性加重期患者下肢深静脉血栓的预防护理研究[J].中国现代医生,2021,59(4):158-161
空气压力波联合低分子肝素钙对COPD急性加重期患者下肢深静脉血栓的预防护理研究
Preventive nursing study of air pressure wave combined with low molecular weight heparin calcium on deep vein thrombosis of lower extremities in patients with acute exacerbation of COPD
  
DOI:
中文关键词:  慢性阻塞性肺疾病  急性加重期  下肢深静脉血栓  空气压力波  低分子肝素钙
英文关键词:Chronic obstructive pulmonary disease  Acute exacerbation period  Deep vein thrombosis of lower extremities  Air pressure wave  Low molecular weight heparin calcium
基金项目:浙江省医药卫生科技计划项目(2019KY591);浙江省医药卫生科技计划项目(2020KY267)
作者单位
吴文晓1 洪 都2 顾庆香3 陆 萍4 1.中国科学院大学宁波华美医院呼吸内科浙江宁波 3150002.中国科学院大学宁波华美医院重症监护病房浙江宁波 3150003.中国科学院大学宁波华美医院中医康复科浙江宁波 3150004.中国科学院大学宁波华美医院护理部浙江宁波 315000 
摘要点击次数: 49
全文下载次数: 117
中文摘要:
      目的探讨空气压力波联合低分子肝素钙对COPD 急性加重期患者下肢深静脉血栓(DVT)的预防护理效果。方法 选择我院2015 年4 月至2019 年4 月收治的COPD 急性加重期患者105 例,通过随机数表法分为观察组55 例和对照组50 例,在常规治疗基础上,对照组给予低分子肝素钙治疗,观察组联合空气压力波治疗仪治疗,均连续治疗1 周。比较两组凝血、纤溶指标、血液流变学的变化、DVT 发生率及不良反应。结果 治疗后1 周,观察组活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、凝血酶时间(TT)均明显长于对照组(P<0.05),观察组D-二聚体(DD)、纤维蛋白原(FIB)、全血高切黏度、全血低切黏度、血浆黏度均明显低于对照组(P<0.05);观察组DVT 总发生率明显低于对照组(P<0.05);两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论空气压力波联合低分子肝素钙可有效改善COPD 急性加重期患者凝血纤溶功能及血液流变学,在预防DVT 的发生率中有明显作用,护理效果满意。
英文摘要:
      Objective To investigate the preventive nursing effect of air pressure wave combined with low molecular weight heparin calcium on deep vein thrombosis(DVT) of lower extremities in patients with acute exacerbation of COPD.Methods A total of 105 patients with acute exacerbation of COPD who were admitted to our hospital from April 2015 to April 2019 were selected.They were divided into observation group(n=55) and control group(n=50) by random number table method.On the basis of conventional treatment,the control group was given low molecular heparin calcium treatment,and the observation group was given the combined treatment of air pressure wave instrument.All patients were treated continuously for 1 week.The changes of coagulation,fibrinolysis indexes,hemorheology,incidence of DVT and adverse reactions were compared between the two groups.Results One week after treatment,the activated partial thromboplastin time(APTT),prothrombin time(PT),and thrombin time(TT) in the observation group were significantly longer than those in the control group(P<0.05).The D-dimer(DD),fibrinogen(FIB),whole blood high shear viscosity,whole blood low shear viscosity,and plasma viscosity in the observation group were significantly lower than those in the control group(P<0.05).The total incidence of DVT in the observation group was significantly lower than that in the control group(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Air pressure wave combined with low molecular weight heparin calcium can effectively improve the coagulation and fibrinolysis function and hemorheology in patients with acute exacerbation of COPD.It has a significant role in preventing the incidence of DVT,with satisfactory nursing effect.
查看全文  查看/发表评论  下载PDF阅读器
关闭
    • 关键词 :
    • 中国医生
    • 中国现代医生
    • 中国临床医生
    • 中国医师
    • 主任医师
    • 中国医学
    • 中华医学
    • 中国医院
    • 中国医药
    • 中国医疗
    • 现代医生
    • 现代医学
    • 现代医药
    • 现代医院
    • 现代药物
    • 现代护理
    • 现代临床
    • 医学杂志
    • 药学杂志
    • 医药杂志
    • 医生杂志
    • 医师杂志
    • 医疗杂志
    • 医药期刊
    • 医学期刊
    • 医药卫生期刊
    • 医药论文
    • 医学论文
    • 科研论文
    • 职称论文
    function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=318DFCB05C203DB62C2B780D5A0CEEEE26ABC59ADED5558D3A0349149E6404394707C7FD49D8B2976085450AB47AAF8E28B19C9732D03697910702AFF5E386E6BEE27DE34D93EA0DC9D2795E0DD87E6E6AC2C6D51DC5D356783F33BBFA90039951E7C3E652FEED94BFB230414407C8C1142C243D44AC84D922D9E04D7E40FC06CC28DA8047322D2A506D721759EB3952511804241288CBF62DCC8B4D36D059BC7D6175B1B726299E47416C73A34BFC462C160BB60D2A7BC28AE89647A038D471&pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=BB33F1C95224820A&jid=8EDAEC11C165015425CEEA15366CB0A7&yid=9475FABC7A03F4AB&aid=&vid=&iid=E158A972A605785F&sid=4C100B7696CE9E24&eid=8575BEDA702C4B7C&fileno=2021969&flag=1&is_more=0">