早期康复护理对急性脑梗死患者深静脉血栓形成的影响

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目的研究早期康复护理对急性脑梗死患者急性深静脉血栓形成(DVT)的影响。方法选取我院2013年12月至2015年12月急性脑梗死患者94例,抽签随机分为干预组和对照组两组,每组47例,对照组患者常规护理,观察组患者在对照组患者护理基础上实施早期康复护理。比较两组患者护理干预后第10天DVT发生率,活化部分凝血酶原时间(a PTT)、凝血酶原时间(PT)、纤维蛋白原(Fbg)等凝血指标的变化,比较两组患者护理干预前后日常生活能力评分。结果干预组患者在护理干预后第10天DVT发生率为2.13%较对照组14.89%显著较低(P<0.05);干预组患者a PTT、PT上调、Fbg减低等);干预组日常生活能力评分较对照组显著较高(P<0.05)。结论给予急性脑梗死患者早期康复护理能有效减少DVT发生率,患者凝血指标得到改善。 Objective To study the effect of early rehabilitation nursing on acute deep vein thrombosis (DVT) in patients with acute cerebral infarction. Methods Ninety-four patients with acute cerebral infarction from December 2013 to December 2015 in our hospital were enrolled. Randomly divided into two groups: the intervention group and the control group, with 47 cases in each group. The patients in the control group received routine nursing. Patients in the observation group were divided into two groups: control group Nursing based on the implementation of early rehabilitation care. The changes of DVT, PTT, PT and Fbg on the 10th day after nursing intervention were compared between the two groups. The nursing care of two groups was compared Daily life before and after intervention score. Results The incidence of DVT on the 10th day after nursing intervention in the intervention group was significantly lower than that in the control group (2.13% vs 14.89%, P <0.05); aPTT, PT was increased, Fbg was decreased in the intervention group). The daily living ability The score was significantly higher than the control group (P <0.05). Conclusion Early rehabilitation nursing for patients with acute cerebral infarction can effectively reduce the incidence of DVT, and the coagulation index of patients is improved.
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