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宫颈癌根治术后下肢深静脉血栓的预防及护理进展

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宫颈癌是妇科常见肿瘤之一,近年来随着生活方式、习惯的改变,其发病率明显上升.宫颈癌根治术是宫颈癌的一种有效治疗手段,但术后患者仍会出现一系列不良反应,如下肢深静脉血栓(DVT),影响患者术后生活质量.临床研究显示,围术期预防性抗凝药物应用、饮食调整、精细化操作、体位调整、物理预防、功能锻炼等系统化护理干预在改善下肢静脉血液回流状态、降低术后下肢DVT风险方面具有积极意义,加强高危人群筛查,及时实施预防性措施是进一步提升医疗服务质量的重要措施,也是现阶段护理学科研究的重要方向.本文通过检索数据库、整理临床相关文献,从宫颈癌根治术后下肢DVT发生的常见原因、围术期预防性护理措施、下肢DVT护理措施3个方面进行综述,以期为指导临床制订科学合理的预防及护理方案提供参考,从而降低宫颈癌根治术后DVT发病率,提高其临床治愈率.
Prevention and nursing progress of lower extremity deep vein thrombosis after radical resection of cervical cancer
Cervical cancer is one of the common gynecological tumors.In recent years,with the change of lifestyle and habits,its incidence rate has increased significantly.Radical resection of cervical cancer is an effective treatment method for cervical cancer,but patients may still experience a series of adverse reactions after surgery,such as lower extremity deep vein thrombosis(DVT),which affects their postoperative quality of life.The clinical study shows that systematic nursing interventions such as perioperative prophylactic anticoagulant drug application,diet adjustment,fine operation,posture adjustment,physical prevention and functional exercise are of positive significance in improving the venous blood reflux of lower limbs and reducing the risk of postoperative lower limb DVT.And strengthening the screening of high-risk populations and implementing preventive measures in a timely manner is an important measure to further improve the quality of medical services,and it is also an important direction for current nursing research.This article searches the database and arranges the clinical related literature,and reviews the common causes of lower limb DVT after radical operation of cervical cancer,preventive nursing measures during perioperative period,and the nursing measures of lower limb DVT,in order to provide reference for guiding the clinical development of scientific and reasonable prevention and nursing programs to reduce the incidence rate of DVT and improve the clinical cure rate after radical operation of cervical cancer.

Radical resection of cervical cancerDeep vein thrombosis of lower limbsPreventionNursing

毕媛、张辉、陈咏梅、徐艺轩

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天津市第一中心医院妇科,天津 300192

宫颈癌根治术 下肢深静脉血栓 预防 护理

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(3)
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