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目的分析低分子肝素钙预防腹腔镜术后下肢深静脉血栓形成的护理。方法该研究所选对象为该院2014年2月—2017年1月收治的接受腹腔镜胆囊手术治疗的200例患者,经数字随机方法将全部患者分成对照组和实验组,每组均为100例,对照组患者仅给予常规腹腔镜手术治疗,实验组患者则在术前30 min给予低分子肝素钙5 000μg皮下注射,并给予科学和合理的护理配合,观察分析两组患者的血小板变化情况、手术时间、术中出血量和下肢深静脉血栓形成情况。结果在血小板变化情况、手术时间和术中出血量方面,对照组和实验组比较差异无统计学意义(P>0.05);在下肢深静脉血栓发生率方面,实验组显著低于对照组(P<0.05)。结论在腹腔镜术前给予低分子肝素钙治疗,并给予有效的护理配合,能对术后下肢深静脉血栓形成进行有效预防,具有临床应用价值。
Objective To analyze the effect of low molecular weight heparin on prevention of deep venous thrombosis after laparoscopic surgery. Methods The study selected 200 patients who underwent laparoscopic cholecystectomy in our hospital from February 2014 to January 2017. All patients were divided into control group and experimental group by digital randomization method, For example, patients in the control group were treated with conventional laparoscopic surgery only. Patients in the experimental group were injected subcutaneously with 5 000 μg of low-molecular-weight heparin calcium 30 min before the operation, and received scientific and reasonable nursing intervention. The changes of platelet in both groups were observed and analyzed , Operation time, intraoperative blood loss and deep vein thrombosis. Results There was no significant difference between the control group and the experimental group in terms of platelet changes, operation time and intraoperative blood loss (P> 0.05). In the incidence of deep venous thrombosis of lower extremities, the experimental group was significantly lower than the control group (P <0.05). Conclusions The low molecular weight heparin treatment given before laparoscopic surgery and effective nursing cooperation can effectively prevent postoperative deep venous thrombosis of lower extremities and has clinical value.