摘要
目的探讨门静脉高压症脾切除术后血栓形成的危险因素及相关护理方法。方法选取123例门静脉高压症脾切除术患者为研究对象,按照术后是否出现门静脉血栓(PVT)分为PVT组40例和非PVT组83例,对可能造成患者形成PVT的相关因素进行统计学分析。结果 PVT组的腹水史、脾容积、门静脉宽度、脾静脉宽度、血小板计数、D-二聚体及抗凝药物的使用与非PVT组比较差异有统计学意义(P<0.05)。经多因素Logistic分析发现,血小板计数、门静脉宽度、脾静脉宽度、未使用抗凝药物是门静脉高压症脾切除术后PVT形成的独立危险因素(P<0.05)。结论门静脉高压症脾切除术后PVT受众多因素的影响,术后应该针对PVT形成的危险因素给予相关护理干预。
Objective To explore the risk factors of thrombosis after splenectomy in portal hypertension patients and to put forward nursing methods. Methods A total of 123 portal hypertension patients with splenectomy were selected as the research objects,they were divided into PVT group（ 40 cases） and non PVT group（ 83 cases） according to postoperative portal vein thrombosis（ PVT）,the related factors that may cause the formation of PVT were statistically analyzed. Results There were significant differences in history of ascites,spleen volume,portal vein width,the width of splenic vein,platelet count,D-dimer,the use anticoagulant drugs in the PVT group compared with non PVT group（ P〈0. 05）. The multivariate logistic regression analysis showed that platelet count,the width of portal vein,splenic vein width,not use of anticoagulants were independent risk factors of PVT after splenectomy in portal hypertension patients（ P〈0. 05）. Conclusion There were many influence factors for PVT after splenectomy in portal hypertension patients. So it should be given nursing intervention for risk factors of PVT formation.
出处
《实用临床医药杂志》
CAS
2016年第6期53-56,共4页
Journal of Clinical Medicine in Practice
关键词
门静脉高压症脾切除术
门静脉血栓
危险因素
护理干预
portal hypertension splenectomy
portal vein thrombosis
risk factors
nursing intervention
