摘要
目的探讨早期不同护理干预预防剖宫产术后下肢深静脉血栓形成的价值。方法剖宫产者589例,随机分为两组,观察组392例,血栓前其状态者42例,占10.71%。对照组197例,血栓前其状态者21例,占10.66%。两组一般资料比较,P>0.05。拟剖宫产者术前均行双下肢深静脉血管检查。对照组:按照择期剖宫产术管理程序进行护理。观察组:在上述护理的基础上,对下肢进行早期护理干预;术前采用抗血栓压力带和术中使用充气压力泵。两组术前与术后5天观察下肢症状、体征,超声检测血栓前期状态发生情况;入院第1天与手术后第5天抽晨起空腹血,检测D-二聚体、抗凝血酶、蛋白S、蛋白C。应用SPSS20.0软件,所获数据采用方差分析、t检验和2检验。结果两组住院期间下肢肿胀、疼痛、DVT的发生情况比较,P<0.005。剖宫产术对血栓前状态的影响对照组术后53例,术后发生32例,占16.24%。观察组术后45例,术后发生3例,占0.77%。两组比较,P<0.005。两组手术前D-D、AT、PS、PC比较,P>0.05。同组手术前后D-D、AT、PS比较:对照组手术前后D-D、AT、PS比较,P>0.05;PC比较,P<0.0005。观察组手术前后D-D、AT、PS比较,P>0.05;PC比较,P<0.0005。两组手术后D-D、AT、PS、PC比较,P>0.05。结论孕产妇36周时常规超声检测下肢静脉血栓前期状态,住院后采用早期护理干预,及时使用抗血栓压力带和充气压力泵可有效治疗及降低下肢深静脉血栓形成的几率。
Objective To investigate the early different nursing intervention to prevent the value of the lower extremity venous thrombosis after cesarean section. Methods 589 cases of cesarean section were randomly divided into two groups： Observation group 392 cases, 42 cases were thrombosis early state, accounting for 10.71%. The control group 197 cases, 21 cases were thrombosis early state, accounting for 10.66%. General data to compare the two groups, P〉0.05. Quasi cesarean section were preoperative all lines of the deep veins of lower limbs, control group： according to the elective cesarean section management program in nursing. Observation group： on the basis of the above care, early nursing dry for lower limb. Preoperative using pressure with antithrombotic and intraoperative use of air pressure pump. Two groups of preoperative and postoperative 5 days lower limb symptoms, signs, ultrasonic testing thrombosis early state occurrence. On the first day of admission and the fifth day after the operation, the fasting blood since morning, detection and D - dimer, an- tithrombin, protein S, protein C. SPSS20.0 application software, the data obtained using analysis of variance, t test and Ze test. Results Two groups of hospital lower limb swelling, pain, the occurrence of DVT,P〈0.005. Cesarean section ef- fect on thrombosis before state control group 21 cases preoperatively, 53 cases postoperatively, postoperative 32 cases, accounting for 16.24%. Observation group of 42 cases of preoperative and postoperative 45 cases, 3 cases occurred after, accounting for 0.77%. Comparing the two groups, P〈0.005. The two groups before surgery D-D, ats, PS, PC, P〉0.05. Group D - D before and after operation, the AT, PS comparison： the control group before and after surgery D - D, com- pared the AT, PS, P 〉 0.05; PC, P〈0.0005; Group D - D before and after operation, the comparison of the ats, PS, P〉 0.05; PC, P〈0.0005. Two groups of D - D after the operation, the AT, PS, PC, P〉0.05. Conclusion Maternal at 36 weeks c
出处
《菏泽医学专科学校学报》
2017年第2期47-49,80,共4页
Journal of Heze Medical College
关键词
剖宫产/并发症
下肢深静脉血栓形成/预防和控制
下肢深静脉血栓形成/病因学
下肢深静脉血栓形成/治疗
护理干预
抗血栓压力带/治疗应用
充气压力泵/治疗应用
Cesarean delivery/complications
Lower extremity deep venous thrombosis/prevention ＆ control
Lower extremity deep venous thrombosis/etiology
Lower extremity deep venous thrombosis/therapy
Nursing intervention
The antithrombotic pressure belt/therapeutic use
Inflation pressure pump/therapeutic use
