吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
31期
7051-7053
,共3页
围手术期%剖宫产术%下肢静脉血栓%护理干预
圍手術期%剖宮產術%下肢靜脈血栓%護理榦預
위수술기%부궁산술%하지정맥혈전%호리간예
Perioperative period%Cesarean section%Deep vein thrombosis%Nursing intervention
目的：探讨围手术期综合护理干预对预防剖宫产术后下肢深静脉血栓形成的预防作用。方法：选择1069例剖宫产产妇，随机分为干预组534例和对照组535例，对照组实施常规产科围手术期护理，干预组在此基础上给予针对性的综合护理干预。比较两组产妇的下肢静脉血栓的发生率、手术前后 D -二聚体水平变化以及住院时间的差别。结果：干预组产妇的下肢深静脉血栓（DVT）发生率为1.87‰，显著低于对照组的13.08‰，两者间的差异有统计学意义（χ2=4.523，P =0.033）。两组患者手术前血清 D -二聚体水平比较，差异无统计学意义（F =2.833，P =0.093），手术后干预组较对照组的 D -二聚体水平显著降低，两者间的差异有统计学意义（F =6.502，P =0.011）。两组产妇平均住院时间差异有统计学意义（F =35.217，P <0.001）。结论：对剖宫产产妇实施促进静脉血液回流、防止静脉内膜损伤、防止血液高凝状态的护理干预，可有效降低产妇手术后 D -二聚体水平，改善血液高凝状态，有效降低 DVT 的发生率，缩短住院时间，减少医疗费用，提高产妇的生活质量。
目的：探討圍手術期綜閤護理榦預對預防剖宮產術後下肢深靜脈血栓形成的預防作用。方法：選擇1069例剖宮產產婦，隨機分為榦預組534例和對照組535例，對照組實施常規產科圍手術期護理，榦預組在此基礎上給予針對性的綜閤護理榦預。比較兩組產婦的下肢靜脈血栓的髮生率、手術前後 D -二聚體水平變化以及住院時間的差彆。結果：榦預組產婦的下肢深靜脈血栓（DVT）髮生率為1.87‰，顯著低于對照組的13.08‰，兩者間的差異有統計學意義（χ2=4.523，P =0.033）。兩組患者手術前血清 D -二聚體水平比較，差異無統計學意義（F =2.833，P =0.093），手術後榦預組較對照組的 D -二聚體水平顯著降低，兩者間的差異有統計學意義（F =6.502，P =0.011）。兩組產婦平均住院時間差異有統計學意義（F =35.217，P <0.001）。結論：對剖宮產產婦實施促進靜脈血液迴流、防止靜脈內膜損傷、防止血液高凝狀態的護理榦預，可有效降低產婦手術後 D -二聚體水平，改善血液高凝狀態，有效降低 DVT 的髮生率，縮短住院時間，減少醫療費用，提高產婦的生活質量。
목적：탐토위수술기종합호리간예대예방부궁산술후하지심정맥혈전형성적예방작용。방법：선택1069례부궁산산부，수궤분위간예조534례화대조조535례，대조조실시상규산과위수술기호리，간예조재차기출상급여침대성적종합호리간예。비교량조산부적하지정맥혈전적발생솔、수술전후 D -이취체수평변화이급주원시간적차별。결과：간예조산부적하지심정맥혈전（DVT）발생솔위1.87‰，현저저우대조조적13.08‰，량자간적차이유통계학의의（χ2=4.523，P =0.033）。량조환자수술전혈청 D -이취체수평비교，차이무통계학의의（F =2.833，P =0.093），수술후간예조교대조조적 D -이취체수평현저강저，량자간적차이유통계학의의（F =6.502，P =0.011）。량조산부평균주원시간차이유통계학의의（F =35.217，P <0.001）。결론：대부궁산산부실시촉진정맥혈액회류、방지정맥내막손상、방지혈액고응상태적호리간예，가유효강저산부수술후 D -이취체수평，개선혈액고응상태，유효강저 DVT 적발생솔，축단주원시간，감소의료비용，제고산부적생활질량。
Objective To investigate the effect of comprehensive nursing in the perioperative period of Caesarean section on deep vein thrombosis(DVT). Method This was a randomized controlled clinical study. 1 069 women who underwent Cesarean section were recruited and randomly divided into experiment group and control group. 535 pregnant women were in control group and received routinely periopera-tive nursing,while 534 pregnant women were in experiment group and received comprehensively perioperative nursing basing on the routine one. The incidence rate of DVT,the levels of serum D - dimer in perioperative period,and hospital stays between two groups were com-pared. Results The incidence rate of DVT in experiment group was 1. 87‰,while that of the control group was 13. 08‰,the difference be-tween two groups was statistically significant(χ2 = 4. 523,P = 0. 033). The preoperative levels of serum D - dimer between two groups had no statistically significant difference(F = 2. 833,P = 0. 093). The postoperative levels of D - dimer in experiment group was significantly lower than that in control group(F = 6. 502,P = 0. 011). The difference of hospital stays in two groups was also statistically significant(F =35. 217,P < 0. 001). Conclusion Comprehensive nursing might reduce the postoperative level of D - dimer and the incidence rate of DVT in the parturient underwent Cesarean section which would contribute to shorten hospital stays,lessen medical cost and improve the patient' s life quality.
