摘要
目的探讨双下肢气压泵联合低分子肝素钙对高危产妇剖宫产术后深静脉血栓形成的预防效果。方法选择2019年1月—2021年1月新泰市人民医院收治的160例剖宫产术后下肢深静脉血栓形成高危产妇作为研究对象,按照随机数字表法分为对照组和观察组,每组80例。对照组应用低分子肝素钙预防剖宫产术后深静脉血栓,观察组应用双下肢气压泵联合低分子肝素钙预防剖宫产术后深静脉血栓,比较2组股静脉血流速度、产后深静脉血栓发生率、凝血功能指标和D-二聚体水平。结果观察组股静脉血流速度高于对照组(P<0.05),产后深静脉血栓发生率低于对照组(P<0.05);治疗后观察组APTT、PT较对照组延长,D二聚体水平明显低于对照组(P<0.05)。结论双下肢气压泵联合低分子肝素钙能够改善产妇血液高凝状态,降低了剖宫产术后下肢深静脉血栓发生率。
Objective To investigate the preventive effect of double lower limb pneumatic pump combined with low molecular weight heparin calcium on deep venous thrombosis after cesarean in high risk parturients.Methods Collect the clinical data of 160 cases of high risk parturients with deep venous thrombosis after cesarean section in our hospital during 2019-01-01 to2021-01-01.They were divided into two groups:control group(n=80,low molecular weight heparin calcium)and study group(n=80,double lower limb pneumatic pump+low molecular weight heparin calcium).Blood flow velocity of femoral vein,incidence of postpartum thrombotic disease,coagulation function and D-dimer level were compared between the two groups.Results The blood flow velocity of femoral vein in the observation group was higher than that in the control group(P<0.05);the incidence of postpartum thrombotic disease was lower than that in the control group(P<0.05);after treatment,APTT and PT in the observation group were longer than those in the control group,and the level of D dimer was significantly lower than that in the control group and before treatment(P<0.05).Conclusions Double lower limb pneumatic pump combined with low molecular weight heparin calcium can improve maternal blood hypercoagulability and reduce the incidence of lower limb deep venous thrombosis after cesarean section.
作者
王秋芳
Wang Qiu fang(The People's Hospital of Xintai City,Xintai,Shandong 271200)
出处
《基层医学论坛》
2022年第16期26-28,共3页
The Medical Forum
关键词
深静脉血栓形成
高危产妇
低分子肝素
双下肢气压泵
联合治疗
Deep venous thrombosis
High risk parturients
Low molecular weight heparin calcium
Double lower limb pneumatic pump
Combined treatment
