首页|针对性护理联合低分子肝素钙对剖宫产术后下肢深静脉血栓发生率的影响

针对性护理联合低分子肝素钙对剖宫产术后下肢深静脉血栓发生率的影响

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目的 探讨针对性护理联合低分子肝素钙对剖宫产术后下肢深静脉血栓发生率的影响.方法 选取自2015年10月~2016年10月在永康市妇幼保健院行剖宫产患者192例,排除相关禁忌后,按照不同的护理方法分为对照组(n=96)和研究组(n=96),2组患者剖宫产术后24 h均给予低分子肝素钙5000 IU皮下注射,1次/天,均连续治疗5 d;对照组患者给予常规剖宫产术后护理;研究组给予针对性护理(心理指导、术前指导、术后护理、饮食指导、锻炼指导、环境护理).结果 研究组患者下肢深静脉血栓发生率(2.08%)明显低于对照组(9.38%),组间比较差异有统计学意义(P<0.05);研究组患者血浆D-二聚体明显低于对照组,组间比较差异有统计学意义(P<0.05);研究组患者对护理满意度(95.83%)高于对照组(81.25%),组间比较差异有统计学意义(P<0.05).结论 对剖宫产产妇实施针对性护理联合低分子肝素钙治疗,可提高对护理满意度,提高术后生活质量,降低术后下肢深静脉血栓的发生率.
Effects of targeted care combined with low molecular weight heparin on the incidence of deep venous thrombosis of lower extremities after cesarean section
Objective To explore effects of the nursing care combined with low molecular weight heparin on the lower extremity deep venous thrombosis after cesarean section incidence. Methods 192 patients who underwent cesarean section from October 2015 to October 2016 in Yongkang maternal and child health hospital, excluding the relevant taboos, according to the different nursing methods, were divided into the control group (n=96) and the study group (n=96). Two groups of patients after 24 h of cesarean section were treated with low molecular weight heparin calcium 5000 IU subcutaneous injection, once a day, continuous treatment for 5 days; the control group was given routine cesarean section nursing after the operation; the study group was given targeted nursing (psychological guidance, preoperative guidance, postoperative care, dietary guidance, exercise guidance, and environmental care). Results The incidence of deep venous thrombosis of patients (2.08%) in the study group was significantly lower than (9.38%) in the control group with statistical significance (P<0.05); the plasma D dimer in the study group was significantly lower than the control group with statistical significance (P<0.05); nursing satisfaction rate of patients in the study group was (95.83%) higher than (81.25%) of the control group with statistical significance (P<0.05). Conclusion The combination of targeted care plus low molecular weight heparin could improve the satisfaction of nursing and the quality of life, reduce the incidence of postoperative deep vein thrombosis. It is worthy of clinical application.

cesarean sectiontargeted nursinglow molecular heparin calciumdeep vein thrombosis of lower extremity

任巧靖、王银雪、孙香玲

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永康市妇幼保健院 产科,浙江 永康 321300

剖宫产 针对性护理 低分子肝素钙 下肢深静脉血栓

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(10)
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