肺血栓栓塞症不规则趋化因子变化研究及护理对策.docVIP

肺血栓栓塞症不规则趋化因子变化研究及护理对策 　　[摘要] 目的 探讨肺血栓栓塞症患者不规则趋化因子的变化趋势，总结合理的护理及预防对策。 方法 对浙江省中医院2012年8月～2013年7月期间被诊断为肺血栓栓塞症的患者的临床资料进行回顾性分析，采用统计学软件，比较将患者发生肺血栓前后其肺组织以及血清中的不规则趋化因子的变化水平。通过比较总结预防及护理对策。结果 血栓发病前其肺组织中的不规则趋化因子水平为（2.19±0.30），血清中的不规则趋化因子水平为（1050.4±23.0）μg/L，肺血栓发生后5 h分别变为（4.10±0.58）μg/L、（2673.5±78.2）μg/L，72 h后不规则趋化因子水平分别为（13.77±3.79）μg/L、（3091.7±117.3）μg/L，可以发现在发生肺血栓后，不规则趋化因子的水平明显上升。通过护理干预可以明显降低患者的死亡率，提高治疗效果。 结论 肺血栓栓塞症病发后，肺组织及血清不规则趋化因子有明显上升趋势，护理干预可明显降低死亡风险。 　　[关键词] 肺血栓栓塞症；不规则趋化因子；预防对策；护理 　　[中图分类号] R563.5 [文献标识码] B [文章编号] 1673-9701（2015）25-0144-03 　　Pulmonary thromboembolism irregular changes of chemoattractant factors and preventive measures 　　LI Xiuyan1，2 FANG Guizhen1，2 WANG Lanfang2 WANG Lingcong1，2 RUAN Longjuan2 ZHENG Chunmei2 XU Qiqi2 　　1.The First Clinical Medical College of Zhejiang Chinese Medicine University， Hangzhou 310006，China；2.ICU，Zhejiang Province Traditional Chinese Medical Hospital， Hangzhou 310006，China 　　[Abstract] Objective To explore the patients with pulmonary thromboembolism of irregular change trend of chemokines， summarize reasonable preventive measures. Methods A clinical data of patients with pulmonary thromboembolism in Zhejiang Province Traditional Chinese medical hospital from August 2012 to July 2013， were retrospectively analyzed by using statistical software， before and after pulmonary embolism， the irregular change of chemokines levels of serum in patients with lung tissue was compared and analyzed by comparing the summary prevention and nursing. Results Thrombus prior to its irregular chemokine levels in the lung tissue was（2.19±0.30）， irregular chemokine levels in the serum was（1050.4±23.0）， pulmonary embolism after 5 hours（4.10±0.58），（2673.5±78.2）， after 72 hours of irregular chemokine levels（13.77±3.79），（3091.7±117.3）， could be found in the event of a pulmonary embolism， irregular chemokine levels rose significantly. Nursing intervention can significantly reduce mortality and improve treatment. Conclusion Pulmonary thromboembolis