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中的效果分析  

Effect analysis of postural intervention combined with postpartum rehabilitation massage on prevention of deep vein thrombosis of lower extremity during puerperium after cesarean section

作　　者：林少新 LIN Shao-xin(Huazhou Pingding Health Center,Huazhou 525135,China)

机构地区：[1]化州市平定卫生院,525135

出　　处：《中国实用医药》2021年第24期193-196,共4页China Practical Medicine

摘　　要：目的探讨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)中的效果。方法 100例剖宫产产妇,随机分为观察组和对照组,每组50例。对照组产妇产后实施常规护理联合常规产后按摩,观察组产妇产后实施体位干预联合产后康复按摩。比较两组产妇下肢深静脉血栓相关并发症发生情况,产后3 d下肢股静脉内血流速度平均值和峰速度,干预10 d后凝血指标[活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)及纤维蛋白原(FIB)、D-二聚体(D-D)]。结果干预10 d后,观察组产妇APTT(32.76±7.53)s、PT(12.96±2.69)s长于对照组的(26.81±6.26)、(10.69±1.91)s,FIB(2.37±0.68)g/L、D-D(0.23±0.04)mg/L低于对照组的(3.29±0.73)g/L、(0.39±0.03)mg/L,差异具有统计学意义(P<0.05)。观察组产妇产后3 d下肢股静脉内血流平均速度及峰速度高于对照组,差异具有统计学意义(P<0.05)。观察组产妇下肢深静脉血栓相关并发症发生率为2.00%,低于对照组的14.00%,差异具有统计学意义(P<0.05)。结论对于行剖宫产手术的产妇,在产褥期时给予体位干预联合产后康复按摩可以降低下肢深静脉血栓发生的可能性,调整患者的心理状态,提高其生活质量,在临床中有推广和应用价值。Objective To discuss the effect of postural intervention combined with postpartum rehabilitation massage on prevention of deep vein thrombosis(DVT)of lower extremity during puerperium after cesarean section.Methods A total of 100 maternal women undergoing cesarean section were randomly divided into observation group and control group,with 50 cases in each group.The control group was treated with conventional nursing and postpartum massage,and the observation group was treated with postural intervention and postpartum rehabilitation massage.The occurrence of complications related to deep vein thrombosis of the lower extremities,average and peak velocity of blood flow in femoral vein of lower extremity 3 d after delivery,and coagulation indicators[activated partial thromboplastin time(APTT),prothrombin time(PT),fibrinogen(FIB),D-dimer(D-D)]after 10 d of intervention were compared between the two groups.Results 10 d after intervention,the APTT(32.76±7.53)s and PT(12.96±2.69)s of the observation group were longer than(26.81±6.26)and(10.69±1.91)s of the control group,and FIB(2.37±0.68)g/L and D-D(0.23±0.04)mg/L were lower than(3.29±0.73)g/L and(0.39±0.03)mg/L of the control group,and the difference was statistically significant(P<0.05).The average and peak velocity of blood flow in femoral vein of lower extremity 3 d after delivery of the observation group were all higher than those of the control group,and the difference was statistically significant(P<0.05).The incidence of complications related to deep vein thrombosis of the lower extremities of the observation group was 2.00%,which was lower than 14.00%of the control group,and the difference was statistically significant(P<0.05).Conclusion For maternal women undergoing cesarean section,combination of postural intervention and postpartum rehabilitation massage during puerperium can lower the probability of deep venous thrombosis of lower extremity,improve the nursing satisfaction of patients,adjust the psychological state of patients,and improve their quali

关 键 词：体位干预 产后康复按摩护理 产褥期 下肢深静脉血栓 

分 类 号：R473.71[医药卫生—护理学]