OEC管理模式在预防重型颅脑损伤患者术后深静脉血栓中的应用

目的 探讨OEC管理模式在预防重型颅脑损伤患者术后深静脉血栓(deep vein thrombosis,DVT)中的应用。 方法 选取2018年1-12月笔者所在医院收治的重型颅脑损伤患者80例,根据患者入院时间将其分为对照组(2018年1-6月)及观察组(2018年7-12月)各40例,2组均采用血栓弹力图进行监测。对照组行常规血栓预防指导,观察组在对照组基础上应用OEC管理模式实施管理,比较2组患者血栓发生率、平均住院时间、患者投诉率及患者满意率。 结果 观察组干预后,血浆D-二聚体(D-D)、凝血酶原时间(PT)、凝血酶时间(TT)、纤维蛋白原(FIB)较对照组明显改善(P＜0.05),观察组患者血栓发生率、患者投诉率均低于对照组(χ²=4.507,P=0.034;χ²=5.165,P=0.023),患者满意率高于对照组(χ²=6.274,P=0.012)。 结论 OEC管理模式能有效改善重型颅脑损伤患者术后血液黏稠度,预防血栓形成,缩短患者治疗时间,提高患者治疗满意率。

Application of OEC management mode in preventing deep vein thrombosis after severe craniocerebral trauma

Objective To explore the application of OEC management mode in the prevention of deep vein thrombosis (DVT) after severe craniocerebral trauma. Methods Totally 80 patients with severe craniocerebral trauma and admitted to our hospital in the first half of 2018 were selected into a control group, while those in the second half of 2018 were chosen into an observation group, each of 40. All patients were monitored using the thromboelastography. Both groups were given routine guidance preventing DVT, while the observation group was additionally provided with OEC management. The incidence of thrombosis, hospital stay, patient complaint rate and patient satisfaction rate were compared between the two groups. Results After the intervention, the level of plasma D-Dimer, prothrombin time, thrombin time, and fibrinogen of the observation group were significantly better than those of the control group (P＜0.05). The incidence of thrombosis and patient complaint rate of the observation group were significantly lower than that of the control group (χ²=4.507, P=0.034; χ²=5.165, P=0.023), while the satisfaction rate of the former was significantly higher than the latter (χ²=6.274,P=0.012). Conclusions The thromboelastography combined with OEC management can effectively improve the postoperative blood viscosity, prevent thrombosis, shorten the treatment time and boost the satisfaction rate of patients with severe traumatic brain injury.