体位干预联合产后康复按摩在产褥期的应用观察  

Observation on the application of posture intervention combined with postpartum rehabilitation massage in puerperium

作　　者：黄冬梅 阮新好 HUANG Dong-mei;RUAN Xin-hao(Qingyuan Maternal and Child Health Hospital,Qingyuan 511500,China)

机构地区：[1]广东省清远市妇幼保健院,511500

出　　处：《中国实用医药》2020年第36期158-160,共3页China Practical Medicine

摘　　要：目的探究体位干预联合产后康复按摩在预防剖宫产术后产褥期下肢深静脉血栓形成(DVT)中的影响。方法120例行剖宫产的产妇为研究对象,随机分成观察组和对照组,每组60例。对照组产妇实施体位干预,观察组产妇实施体位干预联合产后康复按摩。比较两组产妇的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,DVT发生情况,凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、纤维蛋白原(FIB)、D-二聚体(D-D)水平,满意度。结果观察组产妇的SAS评分为(32.75±4.42)分、SDS评分为(41.28±7.65)分,均低于对照组的(40.11±4.64)、(49.32±8.62)分,差异均有统计学意义(P<0.05)。观察组产妇的DVT发生率、FIB、D-D均低于对照组,PT、APTT均长于对照组,差异均有统计学意义(P<0.05)。观察组产妇的满意度为95.00%,显著高于对照组的68.33%,差异有统计学意义(P<0.05)。结论采用体位干预联合产后康复按摩可显著降低剖宫产术后产褥期产妇的DVT发生率,提高产妇满意度,消除抑郁、焦虑等不良情绪,提高产妇的生活质量,在临床中有推广意义。Objective To investigate the effect of posture intervention combined with postpartum rehabilitation massage on the prevention of deep venous thrombosis(DVT)of lower limbs during puerperium after cesarean section.Methods A total of 120 parturients with cesarean section as study subjects were randomly divided into observation group and control group,with 60 cases in each group.The control group received posture intervention,and the observation group received posture intervention combined with postpartum rehabilitation massage.The self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,occurrence of DVT,prothrombin time(PT),activated partial thromboplastin time(APTT),fibrinogen(FIB),D-D im er(D-D)levels,satisfaction rate were compared between the two groups.Results SAS scrore(32.75±4.42)points and SDS score(41.28±7.65)points of the observation group were all lower than(40.11±4.64)and(49.32±8.62)points of the control group,and the difference was statistically significant(P<0.05).The incidence of DVT,FIB and D-D of the observation group were lower than those of the control group,and PT and APTT were longer than those of the control group,and the difference was statistically significant(P<0.05).The satisfaction rate of the observation group was 95.00%,which was significantly higher than 68.33%of the control group,and the difference was statistically significant(P<0.05).Conclusion Posture intervention combined with postpartum rehabilitation massage can significantly reduce the incidence of DVT of lower extremity in puerpera,improve m aternal satisfaction,eliminate depression,anxiety and other negative emotions,improve the quality of life of puerpera,which contains clinical promotion significance.

关 键 词：体位干预 产后康复按摩 产褥期 应用效果 

分 类 号：R473.71[医药卫生—护理学]