国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
14期
2172-2174
,共3页
凝血酶时间%凝血酶原时间%部分凝血酶时间%纤维蛋白原%早产儿护理
凝血酶時間%凝血酶原時間%部分凝血酶時間%纖維蛋白原%早產兒護理
응혈매시간%응혈매원시간%부분응혈매시간%섬유단백원%조산인호리
TT%PT%APTT%FBG%Preterm child care
目的 观察早产儿凝血酶时间(TT)、凝血酶原时间(PT)、部分凝血酶时间(APTT)及纤维蛋白原(FBG)等凝血四项检测及对凝血功能异常早产儿实施护理干预的效果.方法 选择2013年4月至2014年3月我科收治400例早产儿作为观察组,并于出生后24 h内抽取股静脉血检测TT、PT、APTT及FBG等凝血指标,同时采取保温护理、感染护理、喂养护理、呼吸护理等措施;然后把选取同年段的400例正常足月儿作为对照组,同样出生后24 h内检测凝血四项,但只采取常规护理.比较两组检测与护理后疗效的差异性.结果 观察组新生儿凝血四项测定显示TT为(17.46±4.6)s,PT为(15.01±3.85)s,APTT为(62.31±7.12)s,FBG为(2.01±0.92)g/L;而对照组TT为(14.43±1.67)s,PT为(10.46±2.81)s,APTT为(32.37±2.01)s,FBG为(2.22±0.67)g/L.可见观察组早产儿胎龄和体重越低,则PT、TT和APTT就会延长,其FBG降低就越明显,说明观察组发生出血性疾病的比例明显高于对照组(P＜0.05).但观察组经治疗和护理后,有399例健康出院,1例因并发症严重死亡;而对照组有3例转入其他医院,余397例经长时间护理后也全部健康出院.结论 加强早产儿凝血四项检测,并采取正确治疗和相应的护理措施,可避免早产儿并发症的发生,提高早产儿生存率.
目的 觀察早產兒凝血酶時間(TT)、凝血酶原時間(PT)、部分凝血酶時間(APTT)及纖維蛋白原(FBG)等凝血四項檢測及對凝血功能異常早產兒實施護理榦預的效果.方法 選擇2013年4月至2014年3月我科收治400例早產兒作為觀察組,併于齣生後24 h內抽取股靜脈血檢測TT、PT、APTT及FBG等凝血指標,同時採取保溫護理、感染護理、餵養護理、呼吸護理等措施;然後把選取同年段的400例正常足月兒作為對照組,同樣齣生後24 h內檢測凝血四項,但隻採取常規護理.比較兩組檢測與護理後療效的差異性.結果 觀察組新生兒凝血四項測定顯示TT為(17.46±4.6)s,PT為(15.01±3.85)s,APTT為(62.31±7.12)s,FBG為(2.01±0.92)g/L;而對照組TT為(14.43±1.67)s,PT為(10.46±2.81)s,APTT為(32.37±2.01)s,FBG為(2.22±0.67)g/L.可見觀察組早產兒胎齡和體重越低,則PT、TT和APTT就會延長,其FBG降低就越明顯,說明觀察組髮生齣血性疾病的比例明顯高于對照組(P＜0.05).但觀察組經治療和護理後,有399例健康齣院,1例因併髮癥嚴重死亡;而對照組有3例轉入其他醫院,餘397例經長時間護理後也全部健康齣院.結論 加彊早產兒凝血四項檢測,併採取正確治療和相應的護理措施,可避免早產兒併髮癥的髮生,提高早產兒生存率.
목적 관찰조산인응혈매시간(TT)、응혈매원시간(PT)、부분응혈매시간(APTT)급섬유단백원(FBG)등응혈사항검측급대응혈공능이상조산인실시호리간예적효과.방법 선택2013년4월지2014년3월아과수치400례조산인작위관찰조,병우출생후24 h내추취고정맥혈검측TT、PT、APTT급FBG등응혈지표,동시채취보온호리、감염호리、위양호리、호흡호리등조시;연후파선취동년단적400례정상족월인작위대조조,동양출생후24 h내검측응혈사항,단지채취상규호리.비교량조검측여호리후료효적차이성.결과 관찰조신생인응혈사항측정현시TT위(17.46±4.6)s,PT위(15.01±3.85)s,APTT위(62.31±7.12)s,FBG위(2.01±0.92)g/L;이대조조TT위(14.43±1.67)s,PT위(10.46±2.81)s,APTT위(32.37±2.01)s,FBG위(2.22±0.67)g/L.가견관찰조조산인태령화체중월저,칙PT、TT화APTT취회연장,기FBG강저취월명현,설명관찰조발생출혈성질병적비례명현고우대조조(P＜0.05).단관찰조경치료화호리후,유399례건강출원,1례인병발증엄중사망;이대조조유3례전입기타의원,여397례경장시간호리후야전부건강출원.결론 가강조산인응혈사항검측,병채취정학치료화상응적호리조시,가피면조산인병발증적발생,제고조산인생존솔.
Objective To observe the detection of TT,PT,APTT,and FBG in premature infants and the effect of nursing intervention on premature infants.Methods 400 cases admitted into our department from April,2013 to March,2014 were selected as an observation group.Their TT,PT,APTT,FBG,etc.were detected within 24 hours' birth.And nursing care measures such as warmth keeping,infection care,feeding care,breathing care,etc.were carried out on them.Other 400 cases were selected from the same period as a control group.Their TT,PT,APTT,FBG,etc.were detected within 24 hours' birth.They received routine nursing care.The efficacies of the 2 groups were compared.Results The TT,PT,APTT,and FBG were (17.46 ± 4.6) s,(15.01 ± 3.85) s,(62.31 ± 7.12) s,and (2.01 ± 0.92)g/L in the observation group and were (14.43 ± 1.67)s,(10.46 ± 2.81) s,(32.37 ± 2.01) s,and (2.22 ± 0.67) g/L in the control group,respectively.The smaller the observation group' infants' gestational age was and the lighter their birth weight was,the longer their PT,TT,and APTT were and the lower their FBG was,showing that more infants got hemorrhagic diseases in the observation group than in the control group(P＜0.05).However,after the treatment and nursing care,399 cases discharged from the hospital healthy and 1 case died from severe complication in the observation group; 3 cases were transferred to other hospital and the rest 397 cases discharged healthy after long time nursing care.Conclusions Coagulation testing and appropriate corresponding nursing care can prevent complications' happening and increase the infants' survival rate.
