剖宫产术后下肢深静脉血栓形成的预防及护理

Prevention and nursing of deep venous thrombosis in lower limbs after cesarean section

  • 摘要:
      目的  探讨护理措施对剖宫产术后下肢深静脉血栓形成的预防效果。
      方法  选取本院200例剖宫产手术产妇为研究对象, 对照组100例采用围产期常规护理,实验组100例给予下肢静脉血栓预防性护理干预,比较2组产妇干预效果。
      结果  实验组产妇干预24 h后血浆凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、D-二聚体相关凝血指标均优于对照组(P < 0.05); 实验组产妇护理干预48 h后显效率、有效率均高于对照组(P < 0.05)。
      结论  对于剖宫产产妇给予下肢深静脉血栓预防性护理干预可有效降低下肢深静脉血栓形成率。

     

    Abstract:
      Objective  To explore the effect of nursing measures in the prevention of lower extremity deep vein thrombosis after cesarean section.
      Methods  A total of 200 cases with cesarean section treated in our hospital were selected as study objects. All parturients were divided into control group(n=100) and experimental group(n=100), given routine nursing during perinatal period, and preventive nursing, respectively. The effects of nursing intervention were compared between the two groups.
      Results  The coagulation indexes such as plasma prothrombin time (PT), activated partial thromboplastin time (APTT) and D-dimer in the experimental group were better than those in the control group (P < 0.05). After 48 hours of nursing intervention, the marked efficiency rate and effective rate of the experimental group were significantly higher than those of the control group (P < 0.05).
      Conclusion  Preventive nursing intervention for deep venous thrombosis in lower extremities can effectively reduce the incidence of deep venous thrombosis in lower extremities of cesarean section women.

     

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