低分子肝素预防外科手术患者术后形成静脉血栓的临床护理体会

目的：探讨低分子肝素预防外科手术患者术后形成静脉血栓的临床护理体会。方法选取我院2009年2月～2014年2月开展外科手术患者390例，随机分为对照组与观察组各195例，两组患者术前给予低分子肝素皮下注射，对照组采用常规护理措施，观察组增加皮下注射针对性的护理干预。观察两组患者的临床表现与静脉血栓发生率，并开展比较与分析。结果两组样本手术前后血小板计数变化以及凝血死亡变化比较，差异无统计学意义（P＞0.05）。观察组患者共2例患者发生静脉血栓，发生率为1.02％，低于对照组，差异有统计学意义（P＜0.05）。结论在外科手术前应用低分子肝素可有效降低静脉血栓的发生，但临床应用时需给予针对皮下注射的综合护理干预，可保证有效抑制低分子肝素的不良反应。

Nursing experience of low molecular weight heparin prophylaxis of postoperative surgical venous thrombosis

Objective To investigate the clinical nursing effect of low molecular weight heparin prophylaxis of postoperative surgical venous thrombosis. Methods Selected 390 cases of surgical patients in our hospital from February 2009 to February 2014,randomly divided into a control group and observation group.All cases were treated with subcutaneous low molecular weight heparin before surgery.The observation group combined with tight nursing intervention and control group to carry out routine nursing. Results The two samples before and after surgery as well as changes compare platelet counts were not significantly different clotting death,was not statistically significant（P〉0.05）.The patients were two cases of patients with venous thrombosis,the rate was 1.02%,significantly lower than the control group was statistically significant（P〈0.05）. Conclusion The low molecular weight heparin before surgery can reduce the incidence of venous thrombosis.But the clinical application of comprehensive nursing intervention can significantly inhibit the chances of complications.