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作 者:缪琴 MIAO Qin(Department of Obstetrics and Gynecology,Guangxin District People's Hospital,Shangrao 334100,Jiangxi,China)
机构地区:[1]上饶市广信区人民医院妇产科,江西上饶334100
出 处:《医学信息》2022年第18期183-185,共3页Journal of Medical Information
摘 要:目的探讨脉冲式气压治疗仪对产妇剖宫产术后预防双下肢深静脉血栓(DVT)形成的护理干预效果。方法选取我院2018年1月-2020年12月行剖宫产产妇60例,以随机数字表法将产妇分为对照组与观察组,每组30例。对照组在术后护理干预措施中采取常规护理措施,观察组在对照组基础上增加使用脉冲式气压治疗仪。比较两组干预前后下肢血流速度、下肢疼痛评分及患者对预防DVT健康常识掌握水平,两组术后DVT发生率、术后第1天下肢肿胀程度、下肢症状消失时间、住院时间及两组对术后护理的总体评价。结果观察组术后DVT发生率低于对照组(P<0.05);两组下肢血流速度快于干预前、下肢疼痛评分低于干预前、健康常识得分高于干预前,且观察组均优于对照组(P<0.05);观察组下肢肿胀程度低于对照组,下肢症状消失时间、住院时间短于对照组(P<0.05);观察组对术后护理总体评价高于对照组(P<0.05)。结论剖宫产产妇术后护理措施中,增加应用脉冲式气压治疗仪给予护理干预既能够有效预防DVT发生,减轻下肢肿胀及疼痛程度,促进下肢血流速度加快,也能够提高患者健康常识水平,促进早期恢复出院,更能够获得患者较高总体评价,干预效果显著。Objective To explore the nursing intervention effect of pulse air pressure therapeutic instrument on the prevention of deep venous thrombosis(DVT)of lower limbs after cesarean section.Methods A total of 60 parturients who underwent cesarean section in our hospital from January 2018 to December 2020 were selected and divided into control group and observation group by random number table method,with 30 cases in each group.The control group was received routine nursing measures in the postoperative nursing intervention measures,and the observation group was received pulsed air pressure therapeutic apparatus on the basis of the control group.The lower limb blood flow velocity,lower limb pain score and patients'mastery of DVT prevention health knowledge before and after intervention were compared between the two groups.The incidence of postoperative DVT,the degree of lower limb swelling on the first day after operation,the disappearance time of lower limb symptoms,hospitalization time and the overall evaluation of postoperative nursing in the two groups were compared.Results The incidence of postoperative DVT in the observation group was lower than that in the control group(P<0.05);the blood flow rate of the lower limbs of the two groups was faster than before the intervention,the observation group was faster than the control group,and the lower limb pain score was lower than before the intervention,The observation group was lower than the control group,the score of common sense of health was higher than before the intervention,the observation group was higher than the control group(P<0.05);The time was shorter than that of the control group(P<0.05).The observation group's overall evaluation of postoperative care was higher than that of the control group(P<0.05).Conclusion The combined application of pulsed air pressure therapeutic apparatus in the postoperative nursing measures of cesarean section can not only effectively prevent the occurrence of DVT,reduce the degree of swelling and pain of lower limbs,promote the
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