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目的分析腹腔镜下胃癌手术后高凝血状态发生的监测及护理。方法选取我院2014年9月至2016年1月期间接受腹腔镜下胃癌手术的患者86例,随机分为观察组和对照组各43例,两组手术均由同一组医师完成,给予对照组常规护理,观察组在对照组基础上根据高凝血状态监测结果给予针对性护理。通过检测术前术后凝血指标水平变化及术后并发症发生情况比较两组护理效果。结果两组术前各项凝血指标均低于正常水平且比较无统计学意义(P>0.05),两组各项凝血指标在术后3 d均略有下降,但术后7 d、术后14 d均明显上升(P<0.05),观察组术后7 d、术后14 d PT、a PTT、INR均显著高于对照组;观察组并发症发生率为9.30%显著低于对照组30.23%(P<0.05)。结论腹腔镜下胃癌手术患者术后明显处于高凝血状态,密切监测患者凝血状态,实行针对性护理干预对改善患者高凝血状态、减少血栓等并发症的发生有重要意义。
Objective To analyze the monitoring and nursing of hypercoagulable state after laparoscopic gastric cancer surgery. Methods Totally 86 patients undergoing laparoscopic surgery for gastric cancer from September 2014 to January 2016 in our hospital were randomly divided into observation group (43 cases) and control group (43 cases). The two groups were performed by the same group of physicians and the control group Routine nursing, observation group based on the control group according to the monitoring results of high coagulation status to give targeted care. Preoperative and postoperative coagulation index levels and postoperative complications by comparing the two groups of nursing effects. Results The preoperative coagulation indexes of the two groups were all lower than the normal level (P> 0.05), and the coagulation indexes decreased slightly on the 3rd day after the operation in both groups. However, on the 7th day after operation, (P <0.05). The PT, PTT and INR of the observation group at 7 d after operation and 14 d after operation were significantly higher than those of the control group. The complication rate in the observation group was 9.30%, which was significantly lower than that in the control group % (P <0.05). Conclusions Laparoscopic gastric cancer patients undergoing surgery are obviously hypercoagulable. It is of great significance to closely monitor the coagulation status of patients and implement targeted nursing interventions to improve the patients’ hypercoagulability and reduce the incidence of thrombosis and other complications.