ZHANG Sanhong. Effect observation of early application of low molecular weight heparin calcium in prevention of coagulation dysfunction in patients with respiratory failure[J]. Journal of Clinical Medicine in Practice, 2019, 23(21): 58-60. DOI: 10.7619/jcmp.201921017
Citation: ZHANG Sanhong. Effect observation of early application of low molecular weight heparin calcium in prevention of coagulation dysfunction in patients with respiratory failure[J]. Journal of Clinical Medicine in Practice, 2019, 23(21): 58-60. DOI: 10.7619/jcmp.201921017

Effect observation of early application of low molecular weight heparin calcium in prevention of coagulation dysfunction in patients with respiratory failure

More Information
  • Received Date: August 10, 2019
  • Accepted Date: September 27, 2019
  • Available Online: February 28, 2021
  • Published Date: November 14, 2019
  •   Objective  To explore the effect of early application of low molecular weight heparin calcium on the prevention of coagulation dysfunction in patients with respiratory failure.
      Methods  A total of 92 patients with respiratory failure were randomly divided into two groups, with 46 cases in each group. The patients in both groups were given regular treatment, such as cough relief, expectoration, asthma relief, mechanical ventilation and low flow oxygen inhalation. On this basis, the study group was given hypodermic injection of low molecular weight heparin calcium. The blood gas analysis indexes before and after treatment were compared between two groups, including pH value, partial pressure of arterial carbon dioxide[p(CO2)] and partial pressure of arterial blood oxygen[p(O2)]. The coagulation function including partial thromboplastin time (APTT), prothrombin time (PT), D-Dimer (D-D), platelet (PLT) of the two groups before and after treatment was compared.
      Results  After treatment, the pH, p(CO2) and p(O2) levels of the two groups significantly improved, and the pH, p(CO2) and p(O2) levels of the study group were significantly higher than those of the control group (P < 0.05). After treatment, APTT, PT, D-D and PLT in both groups significantly improved when compared with those before treatment, and APTT, PT, D-D and PLT in the study group were significantly better than those in the control group (P < 0.05).
      Conclusion  Early application of low molecular weight heparin calcium is effective and safe in the treatment of respiratory failure, which can improve the coagulation function and blood gas indexes, reduce the rate of thrombosis, and promote the improvement of disease condition.
  • [1]
    张润娟. 慢性阻塞性肺疾病急性加重期治疗中低分子肝素早期干预价值评估[J]. 中国医药科学, 2018, 8(10): 33-35. doi: 10.3969/j.issn.2095-0616.2018.10.011
    [2]
    何智群, 毛永毅. 慢性阻塞性肺疾病急性加重期治疗中低分子肝素早期干预效果探讨[J]. 国际呼吸杂志, 2015(15): 1152-1154. doi: 10.3760/cma.j.issn.1673-436X.2015.15.009
    [3]
    陈洪江, 李志丹. 肺心病合并呼吸衰竭患者凝血功能及心电图的变化特点及临床治疗分析[J]. 中外医学研究, 2018, 16(3): 50-52. https://www.cnki.com.cn/Article/CJFDTOTAL-YJZY201803027.htm
    [4]
    甘畅新. 低分子肝素钙治疗肺心病合并呼吸衰竭的临床疗效[J]. 世界临床医学, 2016, 16(9): 5-8. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYZ202002010.htm
    [5]
    高俊耀. 低分子肝素钙治疗肺心病合并呼吸衰竭的临床分析[J]. 中国卫生标准管理, 2016, 7(5): 80-82. https://www.cnki.com.cn/Article/CJFDTOTAL-WSBZ201605061.htm
    [6]
    张静, 杨芳, 张川, 等. NCPAP联合低分子肝素对重症肺炎患者肺功能和血氧饱和度的影响[J]. 解放军预防医学杂志, 2018, 36(10): 1277-1279, 1282. https://www.cnki.com.cn/Article/CJFDTOTAL-JYYX201810015.htm
    [7]
    罗姝. 低分子肝素钙早期干预防治呼吸衰竭患者凝血功能异常的临床研究[J]. 湖南师范大学学报: 医学版, 2016, 13(6): 119-122. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYG201606041.htm
    [8]
    郎红娟. 低分子肝素钙治疗肺心病合并呼吸衰竭的临床研究[J]. 中国卫生标准管理, 2015, 6(7): 173-174. https://www.cnki.com.cn/Article/CJFDTOTAL-WSBZ201507139.htm
    [9]
    赵罗亚, 卢生芳. 低分子肝素在慢性阻塞性肺疾病急性加重期合并呼吸衰竭患者的疗效观察[J]. 贵州医药, 2016, 40(5): 482-483. doi: 10.3969/j.issn.1000-744X.2016.05.014
    [10]
    吐尔逊·尼亚孜. 慢性阻塞性肺疾病急性加重期治疗中低分子肝素早期干预价值分析[J]. 中国继续医学教育, 2018, 10(17): 124-125. doi: 10.3969/j.issn.1674-9308.2018.17.061
    [11]
    沈威, 翁婷, 高蔚. 早期应用低分子肝素对慢性阻塞性肺疾病急性加重期的影响[J]. 临床肺科杂志, 2016, 21(12): 2274-2276. doi: 10.3969/j.issn.1009-6663.2016.12.040
    [12]
    王玉婷, 余霓雯. 低分子肝素对AECOPD合并呼吸衰竭患者凝血功能及血清TNF-α、CK-MB、CRP水平的影响[J]. 海南医学院学报, 2017, 23(4): 478-481. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYY201704013.htm
    [13]
    邓锐. 低分子肝素治疗对AECOPD患者肺功能和凝血功能的影响[J]. 海南医学院学报, 2016, 22(13): 1377-1379, 1382. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYY201613014.htm
    [14]
    曾建红, 曾军, 李越利, 等. 低分子肝素在慢性阻塞性肺疾病急性加重期合并呼吸衰竭的治疗作用[J]. 中国医药科学, 2016, 6(14): 46-48, 51. https://www.cnki.com.cn/Article/CJFDTOTAL-GYKX201614013.htm
    [15]
    冯慧萍. 低分子肝素对慢性阻塞性肺疾病患者的疗效[J]. 包头医学院学报, 2016, 32(5): 46-48. https://www.cnki.com.cn/Article/CJFDTOTAL-BTYX201605025.htm
    [16]
    孔民, 高亮. 低分子肝素钙早期干预防治呼吸衰竭患者凝血功能异常的临床研究[J]. 系统医学, 2018(13): 41-42, 46. https://www.cnki.com.cn/Article/CJFDTOTAL-XTYX201813016.htm
    [17]
    李丁. 探讨低分子肝素钙治疗肺心病并呼吸衰竭的临床疗效[J]. 中国现代药物应用, 2017, 11(9): 119-120. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWYY201709061.htm
    [18]
    顾毅. 低分子肝素钙治疗肺心病合并呼吸衰竭患者的临床效果[J]. 心理月刊, 2019(5): 126-126. https://www.cnki.com.cn/Article/CJFDTOTAL-XLYK201905120.htm
    [19]
    屈占德. 低分子肝素钙治疗肺心病并呼吸衰竭临床观察[J]. 中国实用医药, 2019, 14(3): 80-81. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA201903047.htm
    [20]
    李喆, 朱应群, 何龙培, 等. 低分子肝素钙治疗肺心病合并呼吸衰竭患者的临床效果[J]. 国际医药卫生导报, 2016, 22(12): 1731-1733. doi: 10.3760/cma.j.issn.1007-1245.2016.12.022
    [21]
    杨维荣. 低分子肝素钙治疗肺心病合并呼吸衰竭患者的临床效果[J]. 家庭医药. 就医选药, 2017(9): 90-91. https://www.cnki.com.cn/Article/CJFDTOTAL-YYJT201709105.htm
    [22]
    宋学坤, 杨松涛. 用低分子肝素联合丹红注射液治疗肺心病呼吸衰竭的疗效观察[J]. 求医问药: 下半月, 2013, 11(7): 78-79. https://www.cnki.com.cn/Article/CJFDTOTAL-QYWA201307081.htm
    [23]
    周茜. 用低分子肝素钙治疗肺源性心脏病并发呼吸衰竭的效果探讨[J]. 当代医药论丛, 2019, 17(10): 174-175. doi: 10.3969/j.issn.2095-7629.2019.10.126
  • Related Articles

    [1]SHENG Zhenfang, WANG Zhaoxiang, ZHONG Shao, TANG Fengyan. A large sample cross-sectional study of the relationship between relative fat mass index and gallstones in adults based on the NHANES database[J]. Journal of Clinical Medicine in Practice, 2025, 29(2): 108-113, 118. DOI: 10.7619/jcmp.20243680
    [2]LU Chang, ZHANG Ying, WU Fangqin, ZOU Yingbin. Related factors of implementation status of cardiac rehabilitation by nurses in cardiovascular departments[J]. Journal of Clinical Medicine in Practice, 2024, 28(22): 115-118, 122. DOI: 10.7619/jcmp.20242872
    [3]XU Yanyan, CHEN Qian, NIU Yulin, DING Bei. Influencing factors of medication adherence among adult renal transplant recipients[J]. Journal of Clinical Medicine in Practice, 2024, 28(18): 90-94. DOI: 10.7619/jcmp.20242534
    [4]LI Xiaoyan, GU Hong. Construction of predictive nomogram model for postpartum post-traumatic stress disorder in pregnant women after delivery[J]. Journal of Clinical Medicine in Practice, 2023, 27(18): 100-106. DOI: 10.7619/jcmp.20232564
    [5]FENG Chong, SONG Jingzhe, KONG Xiang, XU Qian, LIU Lizhuo, LU Yang. Establishment of nomogram model for postpartum hemorrhage in delivery puerperas with uterine scar undergoing re-cesarean section[J]. Journal of Clinical Medicine in Practice, 2022, 26(14): 92-96. DOI: 10.7619/jcmp.20220419
    [6]SHU Fangfang, BAO Lei, ZHU Bei, FAN Xin, ZHU Liqun. A cross-sectional research on preoperative anxiety status, focus of fear and influencing factors in adult patients with selective operation[J]. Journal of Clinical Medicine in Practice, 2022, 26(6): 72-76. DOI: 10.7619/jcmp.20220360
    [7]HUANG Yu, FAN Chunsun, SHI Yanan. Research on prevalence rate and related factors of hypertension and diabetes in senile people based on cross-sectional data of CLHLS study in 2018[J]. Journal of Clinical Medicine in Practice, 2021, 25(2): 49-53. DOI: 10.7619/jcmp.20200383
    [8]ZHU Zhigao, LIANG Kai. Analysis of prognostic influential factors in patients with oropharyngeal squamous cell carcinoma[J]. Journal of Clinical Medicine in Practice, 2013, (11): 44-46,49. DOI: 10.7619/jcmp.201311014
    [9]WU Jingwen. Research of influential factors on anxiety and depression emotions in voluntary blood donors[J]. Journal of Clinical Medicine in Practice, 2013, (10): 45-48. DOI: 10.7619/jcmp.201310018
    [10]TANG Wei, CAI Ya, HUANG Xiao-ping, DUAN Yu, ZHANG Mei, CUI Dai, LIU Chao. Survey of depression status in patients with type 2 diabetes mellitus and analysis of risk factors[J]. Journal of Clinical Medicine in Practice, 2012, (5): 125-128. DOI: 10.3969/j.issn.1672-2353.2012.05.045

Catalog

    Article views (335) PDF downloads (3) Cited by()

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return