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目的对比不同有创动脉血压监测冲洗液方法在儿科临床中的应用效果及对血栓的影响。方法选择本院儿科2015年1月—2016年10月收治的100例危重患儿作为研究对象,随机分为观察组和对照组各50例。观察组患儿采用肝素盐水冲洗管路,对照组患儿采用生理盐水冲洗管路,对比其管路堵塞发生率及凝血酶原时间(prothrombin time,PT)、活化的部分凝血活酶时间(activated partial thromboplastin time,APTT)值。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果观察组患儿治疗后的PT、APTT分别为(18.01±0.23)、(31.12±1.89)s,均高于对照组患儿的(10.62±1.31)、(26.31±3.12)s,差异均有统计学意义(均P<0.05)。结论有创动脉血压监测中采用肝素盐水冲洗管路的护理方法,可以保证患儿管路堵塞发生率,降低血栓形成率,改善患儿凝血功能,值得临床应用。
Objective To compare the effects of different invasive arterial blood pressure monitoring irrigation fluid methods in pediatric clinical practice and thrombosis. Methods A total of 100 critically ill children admitted to our hospital from January 2015 to October 2016 were selected and randomly divided into observation group (50 cases) and control group (50 cases). Children in the observation group were treated with heparin saline, while those in the control group were treated with saline. The incidence of clogging and the prothrombin time (PT) and activated partial thromboplastin time partial thromboplastin time, APTT) values. Measurement data using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results The PT and APTT in the observation group were (18.01 ± 0.23) and (31.12 ± 1.89) s respectively, which were higher than those in the control group (10.62 ± 1.31 and 26.31 ± 3.12) s, respectively Statistical significance (all P <0.05). Conclusions The method of using heparin saline to flush the pipeline in the detection of invasive arterial blood pressure can ensure the incidence of pipeline blockage, reduce the rate of thrombosis and improve the coagulation function in children, which deserves clinical application.