急诊介入联合溶栓救治急性肢体动脉血栓栓塞的护理体会

摘要

目的 探讨急诊介入联合溶栓救治急性肢体动脉血栓栓塞的护理体会.方法 收集我院2013年5月至2016年6月收治的86例急性肢体动脉血栓栓塞患者为对象,随机数字表法将其均分为实验组及对照组各43例,2组患者入院后均行急诊介入联合溶栓救治及常规护理干预,实验组另给予综合护理干预,观察护理干预后2组临床疗效、凝血功能[活化部分凝血活酶时间(.aPTT)、血浆凝血酶时间(TT)、纤维蛋白原(Fbg)]、患肢恢复情况(肢体肿胀、疼痛评分)、并发症发生率及1年复,发率.结果 治疗后实验组总有效率88.37%、并发症总发生率2.33%及1年后复发率4.65%均优于对照组(P<0.05),护理干预前两组aPTT、TT、Fbg、患肢肿胀、疼痛评分相较无明显差异(P>0.05);护理干预后两组aPTT、TT、Fbg变化不显著,但患肢肿胀、疼痛评分均明显减小,且实验组减小的幅度较对照组明显(P<0.05).结论 急诊介入联合溶栓救治急性肢体动脉血栓栓塞时,积极为患者实施综合性护理干预是提高临床疗效、促进患肢恢复及降低并发症和复发率的关键之一.%Objective To explore the nursing experience of acute limb artery thromboembolism treated by emergency intervention combined with thrombolytic therapy .Methods From May 2013 to June 2016,86 patients with acute limb artery thromboembolism in our hospital were randomly divided into the experimental group and the control group with 43 cases in each group .All patients were given emergency intervention combined with thrombolytic therapy and routine nursing intervention , and the experimental group was additionally given comprehensive nursing intervention .The clinical curative effect , blood coagulation function [ activated partial thromboplastin time ( aPTT ) thrombin time ( TT ) , fibrinogen ( Fbg ) ] , limb recovery ( limb swelling and pain scores ) , incidence of complications and 1-year recurrence rate were observed .Results After treatment ,the total effective rate of treatment in the experimental group was significantly higher than that in control group while the incidence of complications and 1-year recurrence rate were significant lower ( P<0.05).Before nursing intervention, aPTT, TT, Fbg, limb swelling and pain scoresshowed no significant differences between the two groups ( P >0.05 ) while after nursing intervention , they were no significant change ,but limb swelling and pain scores showed decreased range in the experimental group was greater than that in the control group ( P<0.05 ) .Conclusion The application of comprehensive nursing intervention in emergency intervention combined with thrombolytic therapy for acute limb artery thromboembolism is the key to improve clinical efficacy ,promote limb recovery and reduce the incidence of complications and recurrence rate.