早期体位干预对妊高症产妇产后下肢深静脉血栓形成的影响  

The impact of early body position intervention on postpartum deep vein thrombosis of lower extremity in hypertension of pregnancy

作　　者：李少琴[1] 武艳琳[1] 周梅娟[1] 招伟英 

机构地区：[1]广东医学院附属医院妇产科,广东湛江524001 [2]湛江市霞山区妇幼保健院

出　　处：《现代预防医学》2012年第19期5007-5008,5011,共3页Modern Preventive Medicine

摘　　要：目的探讨早期体位干预对妊高症产妇产后下肢深静脉血栓形成的影响。方法将1120例妊高症产妇按入院顺序先后随机分为研究组560例和对照组560例,研究组产妇产后早期采用体位干预措施,而对照组产妇产后则采用常规的护理,分别观察记录两组产妇产后下肢肿胀、疼痛的情况以及产后下肢深静脉血栓形成的情况,并进行对照比较。结果研究组产妇产后下肢肿胀、疼痛发生率为2.68%,对照组产妇产后下肢肿胀、疼痛发生率为6.25%,两组比较,差异有统计学意义(χ2=8.37,P﹤0.01)。研究组产妇产后下肢深静脉血栓形成占0.89%,而对照组产妇产后下肢深静脉血栓形成占3.21%,两组比较,差异有统计学意义(χ2=7.50,P﹤0.01)。结论早期体位干预能有效预防妊高症产妇产后下肢深静脉血栓形成,对减少产后并发症,促进产后恢复,具有非常重要的现实意义,值得临床进一步推广。OBJECTIVE To investigate the impact of early body position intervention on postpartum deep vein thrombosis of the lower extremity in hypertension of pregnancy.METHODS 1 120 patients with pregnancy-induced hypertension syndrome were randomly divided into the study group 560 cases and control group 560 cases,study group of early postnatal maternal postural interventions,while the control group adopted conventional postnatal maternal care,then observed and recorded maternal postpartum lower limb swelling,pain and deep a case of venous thrombosis in two groups.RESULTS The incidence of maternal postpartum lower limb swelling and pain in the study group was 2.68%,compared to the control group 6.25%,there was a difference（χ2 = 8.37,P﹤0.01）.The incidence of postpartum deep venous thrombosis of lower extremities accounted for 0.89% in the study group,while which in the control group accounted for 3.21%,there was a difference（χ2 = 7.50,P﹤0.01）.CONCLUSION Early body position intervention is effective in the prevention of postpartum deep venous thrombosis of the lower extremity in pregnancy hypertension.It has very important practical significance in reducing postpartum complications,promoting postpartum recovery,which is worth in the further clinical promotion.

关 键 词：早期 体位 干预 妊高症 下肢 静脉血栓形成 

分 类 号：R543.6[医药卫生—心血管疾病]