剖宫产术后使用低分子肝素钠预防血栓形成的护理研究

Nursing of low molecular weight heparin for thrombosis prevention after cesarean section

  • 摘要:
    目的 探讨低分子肝素钠联合护理干预对剖宫产术后血栓形成的预防效果。
    方法 将100例剖宫产术产妇随机分为观察组和对照组, 每组50例。观察组在综合护理基础上给予低分子肝素钠预防血栓形成的护理措施。比较2组血栓发生风险、护理满意度和并发症发生率,评估低分子肝素钠联合护理干预在剖宫产术后预防血栓形成中的效果和安全性。
    结果 观察组Homan征阳性率、下肢围度显著增加病例数、D-二聚体水平升高病例数、持续性疼痛和肿胀病例数、皮肤温度和颜色变化异常病例数均低于对照组,Wells评分及改良Caprini评分低于对照组,护理满意度评分高于对照组,差异有统计学意义(P < 0.05)。2组产妇的并发症发生率比较,差异无统计学意义(P>0.05)。2组产妇的生命体征(体温、脉搏、呼吸频率、血压)在术后第1、3天和出院前均恢复正常,手术切口均愈合良好。
    结论 低分子肝素钠联合护理干预在预防剖宫产术后血栓形成中具有一定的效果,且安全性较高,能够提高产妇的护理满意度和术后康复质量。

     

    Abstract:
    Objective To investigate the preventive effect of low molecular weight heparin combined with nursing intervention on thrombosis after cesarean section.
    Methods A total of 100 parturient with cesarean section were randomly divided into observation group and control group, with 50 cases in each group. The observation group was given low molecular weight heparin as a nursing measure to prevent thrombosis on the basis of comprehensive nursing. The risk of thrombosis, nursing satisfaction degree and incidence of complications were compared between the two groups, and the effect and safety of low molecular weight heparin combined with nursing intervention in preventing thrombosis after cesarean section were evaluated.
    Results The positive rate of Homan sign, the number of cases with significantly increased lower limb circumference, the number of cases with elevated D-dimer level, the number of cases with persistent pain and swelling, and the number of cases with abnormal skin temperature and color changes in the observation group were all significantly lower has a certain effect in preventing thrombosis after cesarean section and is relatively safe, which can improve nursing satisfaction degree and postoperative recovery quality of parturient.

     

/

返回文章
返回