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护理干预预防剖宫产术后产妇下肢深静脉血栓的研究 被引量:8

STUDY ON NURSING INTERVETION OF PREVENTING DEEP VEIN THROMBOSIS AFTER CAESAREAN SECTION
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摘要 目的研究护理干预措施对预防剖宫产术后深静脉血栓的可行性。方法将2007年2月~2009年9月本院收治的行子宫下段剖宫产术的足月孕妇2680例随机分为两组。对照组1338例,按传统的产科围手术期护理常规护理;实验组1342例,在常规产科围手术期护理基础上实施针对性的护理干预措施。比较两组产后1周肺栓塞、下肢深静脉血栓、双侧下肢肿胀及疼痛的发生情况。结果实验组发生下肢肿胀、疼痛6例(0.45%),肺栓塞1例(0.075%),未发生下肢深静脉血栓;对照组发生下肢深静脉血栓22例(1.64%),下肢肿胀、疼痛17例(1.27%),肺栓塞8例(0.60%),两组肺栓塞、下肢深静脉血栓、下肢肿胀及疼痛发生率比较有统计学意义(P<0.05)。结论采取适当的护理干预措施,可有效预防剖宫产产妇深静脉血栓的形成。 Objective To study the feasibility of nursing intervention of preventing deep vein thrombosis (DVT) after caesarean section. Methods 2680 women of full-term pregnancy underwent lower uterine segment caesarean section admitted to our hospital from Febrary,2007 to September,2009 were randomly divided into the experimental group (n=1342) and the control group(n=1338).The controls were treated with routine nursing,while the cases in the experimental group with pertinent nursing intervention in addition to routine nursing. The pulmonary embolism,phlebothrombosis in deep veins of lower limbs,the swelling in the lower limbs and the incidence of pains one week after the delivery were observed.Results The incidences of pulmonary embolism and the swelling in the lower limbs and the pain one week after delivery were 0.075% and 0.45% respectively in the experimental group,while 0.60% and s1.27% respectively in the control group,with the incidence of the phlebothrombosis in deep veins of lower limbs being 1.64% in the control group(P0.05).Conclusion DVT in parturient women undergoing caesarean section can be effectively prevented by applying nursing intervention.
作者 李玉荣
机构地区 临沂市人民医院
出处 《山东医学高等专科学校学报》 2010年第3期221-223,共3页 Journal of Shandong Medical College
关键词 剖宫产 产妇 深静脉血栓 护理干预 Caesarean section Parturient Deep vein thrombosis Nursing intervention
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