摘要
目的:探讨凝血功能监测对老年白血病患者静脉穿刺按压时间的影响。方法:对63例老年白血病患者进行血小板计数及凝血功能指标监测,观察血小板减少对静脉穿刺按压时间的影响,分析血小板计数及凝血功能指标与按压时间相关性。结果:本组老年白血病患者血小板计数、凝血酶原时间(PT)、国际标准化比值(INR)、抗凝血酶Ⅲ(ATⅢ)与静脉穿刺按压时间相关(P<0.05),轻度血小板减少患者与中度、重度患者按压时间比较差异均有统计学意义(P<0.05),血小板减少合并凝血功能指标异常与未合并凝血功能指标异常者按压时间比较差异有统计学意义(P<0.05)。结论:若老年白血病患者出现血小板减少、PT延长、INR及ATⅢ增加,应适当延长静脉穿刺按压时间。
Objective：To investigate the influence of monitoring of coagulation function on the pressing time of venipucture in elderly patients with leukemia. Methods ：The platelet count and monitoring of coagulation index were conducted to 63 elderly patients with leuke- mia. The influence of reduction of platelet on the pressing time of venipucture was observed and the correlation between platelet count, co- agulation index and pressing time was analyzed. Results：The platelet count, prothrombin time （PT } ,international normalized ratio （INR） and antithrombinⅢ（ATⅢ） were correlated with the pressing time of venipucture in elderly patients with leukemia （ P 〈 0.05 ） ; the difference in the comparison of the pressing time was statistically significant between the patients with mild thrombocytopenia and the pa- tients with moderate to severe thrombocytopenia （ P 〈 0.05 ） ; the comparison of the pressing time was significantly different between the pa- tients with thrombocytopenia complicated with abnormality in coagulation index and the patients without the complication of abnormality in coagulation index （ P 〈 0.05 ）. Conclusion ： The pressing time after venipucture should appropriately be extended if the varying degrees of platelet decline,PT extension or numerical increases of INR and ATⅢ occur in the elderly patients with leukemia.
出处
《齐鲁护理杂志》
2013年第7期9-10,共2页
Journal of Qilu Nursing
关键词
白血病
血小板计数
凝血功能监测
静脉穿刺
Leukemia
Platelet count
Monitoring of coagulation function
Venipucture
