下肢动脉硬化闭塞症介入术后并发血栓形成的护理

目的探究下肢动脉硬化闭塞症介入术后并发血栓形成的护理措施。方法选取我院2014年1月至2017年1月下肢动脉硬化闭塞症患者62例,按入院顺序编号,采用随机数表法将患者分为观察组与对照组两组,每组31例,给予对照组患者常规护理干预,观察组在对照组治疗基础上给予围术期细节护理干预,比较两组术后并发症发生率,比较两组治疗前后血脂、血液流变学指标以及前后股浅动脉、胫后动脉、足背动脉内径和血流量水平变化情况。结果观察组术后并发症发生率为12.90%较对照组35.48%显著较低(P0.05);两组患者治疗后血清总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、全血粘度、纤维蛋白原水平较治疗前均显著降低(P0.05);治疗后观察组TC、LDL-C水平较对照组显著较低(P0.05);两组患者治疗后股浅动脉、胫后动脉、足背动脉内径及血流量较治疗前显著增加(P0.05);观察组治疗后股浅动脉、胫后动脉血流量较对照组显著较快(P0.05)。结论加强对下肢动脉硬化闭塞症患者术前术后的护理工作,是提高介入术手术成功率的关键,能有效预防并减少血栓形成等并发症的发生。

Nursing Experience of Thrombosis in Patients with Lower Extremity Arteriosclerosis Obliterans after Interventional Therapy

Objective To explore the nursing care for thrombosis in patients with lower extremity arteriosclerosis obliterans after interventional therapy .Methods A total of 62 patients with lower extremity arteriosclerosis obliterans who were admitted to our hospital during January 2014 to January 2017 were numbered according to the order of admission , and they were randomly divided into observation group and control group ,31 cases in each group .The control group were given routine nursing intervention , while the observation group were given perioperative detailed nursing intervention ,on the basis of the control group .The incidence of postoperative complications was compared between the two groups .The changes of blood lipids , hemorheological indexes ,inner diameters and blood flow volume of anterior and posterior superficial femoral artery,posterior tibial artery and arteria dorsalis pedis before and after treatment were compared between the two groups .Results The incidence of postoperative complications was significantly lower in the observation group than the control group ( 12.90% vs 35.48%) ( P <0.05 ).After treatment, levels of serum total cholesterol ( TC ) , low-density lipoprotein cholesterol ( LDL-C ) , whole blood viscosity and fibrinogen in two groups were significantly lower than those before treatment (P<0.05).After treatment,levels of TC and LDL-C were significantly lower in the observation group than the control group ( P<0.05 ) .After treatment , the inner diameters and blood flow volume of anterior and posterior superficial femoral artery ,posterior tibial artery and arteria dorsalis pedis were significantly larger and more than those before treatment ( P<0.05 ) .The blood flow of superficial femoral artery and posterior tibial artery was significantly faster in observation group than the control group after treatment ( P<0.05 ) .Conclusion Strengthening detailed nursing of patients with lower extremity arteriosclerosis obliterans before and after operation is the key to improve the success rate of operation .It can effectively prevent and reduce the incidence of complications such as thrombosis ,and promote the postoperative rehabilitation process .