首页|双重阻断式程序护理在预防剖宫产术后深静脉血栓形成中的作用

双重阻断式程序护理在预防剖宫产术后深静脉血栓形成中的作用

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目的:分析双重阻断式程序护理在预防剖宫产术后深静脉血栓形成(deep vein thrombosis,DVT)中的作用.方法:选取 2022年2月—2023年5月南通市妇幼保健院收治的120例剖宫产产妇作为研究对象,采用随机数表法将产妇分为对照组和研究组,各60例.对照组实施常规护理,研究组实施双重阻断式程序护理.对比两组DVT发生情况、活化部分凝血活酶时间(activated partial thromboplastin time,APTT)、血浆凝血酶原时间(prothrombin time,PT)、纤维蛋白原(fibrinogen,FIB)水平,股总静脉、胭静脉、髂静脉血液流速.结果:研究组DVT发生率低于对照组,差异有统计学意义(P<0.05);术后 2 d,研究组APTT、PT水平高于对照组,FIB水平低于对照组,差异有统计学意义(P<0.05);术后 2 d,研究组股总静脉、胭静脉、髂静脉血液流速高于对照组,差异有统计学意义(P<0.05).结论:双重阻断式程序护理在产妇剖宫产术后的应用,可减小对产妇术后凝血指标、静脉血液流速的影响,有效降低DVT的发生风险.
Role of Dual Blocking Program Care in Preventing the Deep Vein Thrombosis after Cesarean Section
Objective:To analyze the role of dual blocking program care in preventing the prevention of deep vein thrombosis(DVT)after cesarean section.Method:A total of 120 puerperas of cesarean section admitted to Nantong Maternal and Child Health Hospital from February 2022 to May 2023 were selected as the research objects,and the puerperas were divided into control group and study group,with 60 cases in each group.The control group implemented routine care,and the study group implemented dual blocking program care.The DVT,activated partial thromboplastin time(APTT),plasma prothrombin time(PT),fibrinogen(FIB)level,common femoral vein,carmine vein,iliac vein blood flow were compared between the two groups.Result:The incidence of DVT in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).After 2 d of surgery,the APTT and PT levels in the study group were higher than those in the control group,the FIB level was lower than the control group,the differences were statistically significant(P<0.05).After 2 d of surgery,the blood flow rate of the total femoral vein,the carmine vein and the iliac vein in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of dual blocking procedure nursing in patients after cesarean section can reduce the influences on coagulation index and venous blood flow rate,and effectively reduce the risk of DVT.

Dual blocking type program careCesarean sectionDeep vein thrombosisBlood flow rate

邹瑢、张丽芹、韩珂语

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南通市妇幼保健院 江苏 南通 226006

南京中医药大学卫生经济管理学院

双重阻断式程序护理 剖宫产 深静脉血栓 血液流速

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(1)
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