Analysis of risk factors and prevention and control measures of deep venous thrombosis of lower limbs in pregnant women
Objective To analyze the risk factors and nursing prevention and control measures for lower limb deep vein thrombosis in pregnant and postpartum women.Methods Clinical data of 88 pregnant women who underwent obstetric examination and delivered in our hospital from October 2019 to February 2023 were collected and divided into two groups for retrospective analysis.The coagula-tion function indexes of the two groups were compared.The clinical data of the two groups were analyzed by single factor,and the vari-ables with statistical significance were analyzed by multi-factor Logistic regression.Results The proportion of pregnant women with lower limb deep vein thrombosis in caesarean section,postpartum bleeding volume≥1000 mL,puerperal bed rest time≥72 h,history of thrombosis,pregnancy induced hypertension,and pregnancy induced diabetes was significantly higher than that of pregnant women without lower limb deep vein thrombosis(P<0.05).Multivariate logistic regression analysis showed that Caesarean section delivery,postpartum bleeding volume≥1000 mL,puerperal bed time≥72 hours,pregnancy induced hypertension,and pregnancy induced dia-betes were all risk factors for lower limb deep vein thrombosis in pregnant women(P<0.05).The incidence of deep vein thrombosis in the extremities was significantly higher in pregnant women with deep vein thrombosis than in those without(P<0.05).The proportion of cesarean section delivery,postpartum blood loss≥1000 mL,puerperal bed time≥72 h,history of thrombosis,gestational hyperten-sion and gestational diabetes in the limb deep vein thrombosis group was significantly higher than that in the non-limb deep vein thrombosis group(P<0.05).The results of multivariate logistic regression analysis showed that cesarean section delivery,postpartum hemorrhage of≥1000 mL,postpartum bed rest of≥72 h,history of gestational hypertension,and history of gestational diabetes were all risk factors for deep vein thrombosis in pregnant women(P<0.05).Conclusion Caesarean section delivery,postpartum blood loss≥1000 mL,puerperal bed time≥72 hours,pregnancy induced hypertension,and pregnancy induced diabetes are all risk factors for preg-nant women to develop lower limb deep vein thrombosis.Relevant clinical measures can be made to prevent pregnant women from de-veloping lower limb deep vein thrombosis.
lower limb deep vein thrombosisPregnant and parturient womenRisk factorsPrevention and control measures
万方数据
维普
