双重阻断式程序护理在剖宫产术后深静脉血栓预防中的应用  

Effects of double blocking procedure nursing in the prevention of deep vein thrombosis after cesarean section

作　　者：张旭[1] 吴侠 赵萌 包蕾 Zhang Xu;Wu Xia;Zhao Meng;Bao Lei(Department of Obstetrics and Gynecology,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100024,China)

机构地区：[1]首都医科大学附属北京朝阳医院妇产科,北京100024

出　　处：《中华现代护理杂志》2022年第30期4221-4225,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨双重阻断式程序护理在剖宫产术后深静脉血栓(DVT)预防中的应用效果。方法采用便利抽样法,选取2019年9月—2021年9月首都医科大学附属北京朝阳医院妇产科收治500名行剖宫产产妇为研究对象,按照随机数字表法将产妇分为观察组和对照组,各250名。对照组剖宫产围手术期采用常规护理,观察组剖宫产围手术期在对照组基础上实施双重阻断式程序护理,对比两组产妇活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、纤维蛋白原水平、下肢静脉血液流速及静脉血栓形成情况。结果术后2 d,观察组产妇APTT、PT水平均高于对照组,差异有统计学意义(P<0.01);纤维蛋白原水平低于对照组,差异有统计学意义(P<0.05);股总静脉、腘静脉、髂静脉血液流速均高于对照组,差异有统计学意义(P<0.01);术后6周内,观察组产妇静脉血栓发生率低于对照组,差异有统计学意义(P<0.05)。结论双重阻断式程序护理干预能降低剖宫产术后DVT形成风险,值得临床应用。Objective To explore the effect of double blocking procedure nursing in the prevention of deep vein thrombosis(DVT)after cesarean section.Methods From September 2019 to September 2021,convenience sampling was used to select 500 puerperae who underwent cesarean section admitted to the Department of Obstetrics and Gynecology of Beijing Chaoyang Hospital affiliated to Capital Medical University as the research object.According to the random number table method,the puerperae were divided into the observation group and the control group,250 cases in each.The control group received routine nursing during the perioperative period of cesarean section,while the observation group received double blocking procedure nursing based on the control group during the perioperative period of cesarean section.The activated partial thromboplastin time(APTT),prothrombin time(PT),fibrinogen,lower extremity venous blood flow rate and venous thrombosis were compared between the two groups.Results Two days after operation,the APTT and PT in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.01);the fibrinogen of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The blood flow rates of common femoral vein,popliteal vein and iliac vein of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.01).Within 6 weeks after operation,the incidence of venous thrombosis in the observation group was lower than that in the control group,with a statistically significant difference(P<0.05).Conclusions Double blocking procedure nursing can reduce the risk of DVT after cesarean section,which is worthy of clinical application.

关 键 词：深静脉血栓 剖宫产 血栓栓塞 双重阻断式程序 整体护理 

分 类 号：R473.71[医药卫生—护理学]