物理性预防结合特殊护理对血栓前状态孕妇剖宫产术后下肢深静脉血栓形成的预防效果分析  

Special nursing and intermittent pneumatic pressure pump in prevention of deep venous thrombosis after cesarean section in women with prethrombosis state

作　　者：张喜维[1] 耿丽艳[2] 高洁[2] 肖欢[2] 马唯[2] 田丹[2] 李蕊[2] 金艳荣[2] 

机构地区：[1]首都医科大学附属北京潞河医院护理部,101149 [2]首都医科大学附属北京潞河医院妇产科,101149

出　　处：《中华全科医师杂志》2016年第11期868-871,共4页Chinese Journal of General Practitioners

摘　　要：将2014年3月至2015年8月术前有血栓前状态、择期行剖宫产术后的103例产妇,随机分为对照组43例及观察组60例.孕36周始与术后对照组佩戴抗血栓压力带,观察组采用抗血栓压力带及间歇充气压力泵、宣教、特殊护理预防下肢深静脉血栓（DVT）形成.观察组与对照组年龄分别为为（28.8±4.0）与（29.4±4.6）岁,孕周为37-41周,胎膜早破分别为15与12例,中、重度血栓前状态为15、45和15、28例.剖宫产术后观察组产妇DVT形成患肢发生率0.8％ （1/120）,明显低于对照组的5.8％ （5/86）,差异有统计学意义（P〈0.05）;下肢肿胀、下肢疼痛及皮肤色泽异常例数比较,差异均有统计学意义（均P〈0.05）.两组产妇均无不良反应发生.提示,抗血栓压力带及间歇充气压力泵、宣教、特殊护理综合干预能有效降低血栓前状态孕妇剖宫产术后DVT形成的发生;间歇充气压力泵操作简单、方便易行,适合临床操作.One hundred and three pregnant women undergoing cesarean section were divided into study group （n =60） and control group （n =43）.Both groups received routine nursing and used anti-embolism stockings to prevent deep venous thrombosis of lower limbs;patients in study group received additional intermittent pneumatic pressure pump treatment and special health education.The incidence of postoperative lower limb swelling,pain,skin color changes and deep venous thrombosis in the two groups were compared.Results showed that the incidence rate of postoperative lower limb deep venous thrombosis in study group was 0.8%,which was significantly lower than that in control group（5.8%,P 〈0.05）.There were significant differences in incidence of lower limb swelling,lower limb pain and abnormal skin color between two groups （P 〈 0.05）.The study indicates that intermittent pneumatic compression and special health education can effectively reduce the incidence of deep venous thrombosis of lower limb after cesarean section in pregnant women with prethrombosis state.

关 键 词：血栓形成倾向 下肢深静脉血栓形成 剖宫产 

分 类 号：R473.71[医药卫生—护理学]