Occurrence and Influencing Factors of Lower Extremity Venous Embolism in Patients After Cesarean Section
Objective To investigate the occurrence and related influencing factors of venous embolism in the lower extremity after cesarean section,and to provide a reference for the clinical development of targeted prevention and treatment programs.Methods Clinical data of 385 patients who underwent cesarean section in Zhongmou County Maternal and Child Health Hospital from March 2018 to August 2020 were retrospectively analyzed to understand the occurrence of venous embolism in the lower extremity 2 to 7 days after surgery.According to the occurrence of postoperative lower extremity venous embolism,patients were divided into groups with and without lower extremity venous embolism.General data of the two groups were consulted and compared,and the influencing factors of postoperative lower extremity venous embolism in patients with cesarean section were explored by Logistic regression analysis.Results Among 385 cases of cesarean section,21 cases had lower extremity venous embolism,and the incidence of lower extremity venous embolism was 5.45%.There was no significant difference in age,gestational week at delivery,gestational time,delivery time,macrocephaly,oral contraceptive history,multiple pregnancies,history of thrombosis,serum triglyceride(TG),and total cholesterol(TC)levels between the group with and without venous embolization(P＞0.05).In the lower extremity venous embolization group,plasma D-dimer(D-D)level≥2.6 mg/mL,serum C-reactive protein(CRP)level＞10.0 mg/L,pre-pregnancy body mass index(BMI)＞24 kg/m2,postoperative activity time≤3 h/d,the proportion of patients with diabetes mellitus was higher than that without lower extremity venous embolization,and the difference was statistically significant(P＜0.05).Conclusion There is a certain risk of lower extremity venous embolism in patients with cesarean section.Plasma D-D level≥2.6 mg/L,serum CRP level＞10.0 mg/L,pre-pregnancy BMI＞24 kg/m2,postoperative activity time≤3 h/d,and diabetes mellitus are all risk factors for lower extremity venous embolism in patients with cesarean section.
cesarean sectionlower extremity venous embolismpostoperative activity timeD-dimerC-reactive protein
国家科技期刊平台
NSTL
万方数据
维普
