Clinical significance of monitoring coagulation function of premature infants and their nursing care

Objective To observe the detection of TT,PT,APTT,and FBG in premature infants and the effect of nursing intervention on premature infants.Methods 400 cases admitted into our department from April,2013 to March,2014 were selected as an observation group.Their TT,PT,APTT,FBG,etc.were detected within 24 hours' birth.And nursing care measures such as warmth keeping,infection care,feeding care,breathing care,etc.were carried out on them.Other 400 cases were selected from the same period as a control group.Their TT,PT,APTT,FBG,etc.were detected within 24 hours' birth.They received routine nursing care.The efficacies of the 2 groups were compared.Results The TT,PT,APTT,and FBG were (17.46 ± 4.6) s,(15.01 ± 3.85) s,(62.31 ± 7.12) s,and (2.01 ± 0.92)g/L in the observation group and were (14.43 ± 1.67)s,(10.46 ± 2.81) s,(32.37 ± 2.01) s,and (2.22 ± 0.67) g/L in the control group,respectively.The smaller the observation group' infants' gestational age was and the lighter their birth weight was,the longer their PT,TT,and APTT were and the lower their FBG was,showing that more infants got hemorrhagic diseases in the observation group than in the control group(P＜0.05).However,after the treatment and nursing care,399 cases discharged from the hospital healthy and 1 case died from severe complication in the observation group; 3 cases were transferred to other hospital and the rest 397 cases discharged healthy after long time nursing care.Conclusions Coagulation testing and appropriate corresponding nursing care can prevent complications' happening and increase the infants' survival rate. Key words: TT;  PT;  APTT;  FBG;  Preterm child care