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目的观察探讨老年换瓣术后华法林抗凝治疗的护理效果。方法将自2013年3月至2015年12月在我院进行治疗的36例老年换瓣术患者为研究对象,在患者采用不同的置换术后进行对症护理,并在患者出院后的六个月进行随访。结果 36例患者中共出现1例轻微血栓情况,发生率为2.78%,出现出血的有2例,比例为5.56%;INR值均在1.6~2.3之间,平均INR值为1.92±0.22;36例患者的华法林的平均使用量为2.2mg/1d。结论对老年换瓣术后患者采用华法林进行抗凝治疗中应用对症性的护理可以显著降低患者的术后血栓发生率,同时还有效降低患者的不良反应率,提高患者换瓣后的生活质量,具有极高的护理应用价值。
Objective To investigate the nursing effect of warfarin anticoagulation therapy in senile valve replacement. Methods Thirty-six elderly patients undergoing valve replacement surgery in our hospital from March 2013 to December 2015 were enrolled in this study. Patients were treated with different replacements for symptomatic care. Six months after discharge Follow-up. Results Thirty-six patients had a mild thromboembolism in one case. The incidence rate was 2.78%. There were two cases of hemorrhage (5.56%). The INR values ranged from 1.6 to 2.3 with an average INR of 1.92 ± 0.22. Thirty-six patients The average use of warfarin in patients was 2.2 mg / 1d. Conclusion The symptomatic nursing care of elderly patients with valve replacement warfarin for anticoagulant therapy can significantly reduce the incidence of postoperative thrombosis in patients with adverse reactions and reduce adverse reactions in patients with improved life after valve replacement Quality, with a high value of nursing applications.