围手术期护理干预对剖宫产下肢深静脉血栓形成的影响<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2025.05.003

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摘要【目的】探讨围手术期护理干预对剖宫产下肢深静脉血栓形成的影响。【方法】选取2020年1月至2021年12月本院收治的100例剖宫产产妇为研究对象,按照随机数字表法分为对照组(采用常规护理)和观察组(采用围术期护理),每组50例。比较两组产妇凝血功能、血小板计数(PLT)、产妇恢复情况及下肢周径。【结果】干预后,观察组凝血酶原时间(PT)、D-二聚体(D-D)水平、纤维蛋白原(Fbg)水平及PLT均优于对照组,差异有统计学意义(P<0.05)。观察组产后出血量少于对照组,首次下床时间、首次肛门排气时间、住院时间均短于对照组,差异均有统计学意义(P<0.05)。干预后,观察组髌上15 cm周径、髌下10 cm周径小于对照组,差异有统计学意义(P<0.05)。【结论】针对剖宫产产妇实施围手术期护理,可预防下肢深静脉血栓,改善产妇凝血功能指标,促进产妇康复,改善预后,值得推广应用。

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	曹美婷
	朱小秀
	康静

关键词 ：剖宫产术, 血栓形成, 护理

Abstract：【Objective】To explore the influence of perioperative nursing intervention on the prevention of deep vein thrombosis of the lower extremities after cesarean section. 【Methods】A total of 100 parturients who underwent cesarean section and were admitted to our hospital from January 2020 to December 2021 were selected as the research objects and divided into the control group and the observation group according to the random number table method, with 50 cases in each group. The coagulation function, platelet level, recovery condition and lower extremity circumference of the two groups of parturients were compared. 【Results】After the intervention, the prothrombin time (PT), D-dimer (D-D) level, fibrinogen (Fbg) level and platelet count (PLT) in the observation group were all better than those in the control group, and the differences were statistically significant (P<0.05). The amount of postpartum hemorrhage in the observation group was less than that in the control group. The time of first getting out of bed, the time of first anal exhaust, and the length of hospital stay in the observation group were all shorter than those in the control group. The differences were statistically significant (P<0.05). After the intervention, the 15 cm diameter above the patellar and the 10 cm diameter below the patellar in the observation group were smaller than those in the control group, and the difference was statistically significant (P<0.05). 【Conclusion】Implementing perioperative nursing for parturients undergoing cesarean section can prevent deep vein thrombosis of the lower extremities, improve the coagulation function indicators of parturients, promote the recovery of parturients, and improve prognosis. It is worthy of promotion and application.

Key words： Cesarean Section Thrombosis Nursing Care

收稿日期: 2023-12-22

中图分类号:

R719.8

基金资助:*河南省医学科技攻关计划项目(编号:LHGJ202100216)

引用本文:

曹美婷, 朱小秀, 康静. 围手术期护理干预对剖宫产下肢深静脉血栓形成的影响^*[J]. 医学临床研究, 2025, 42(5): 744-746.
CAO Meiting, ZHU Xiaoxiu, KANG Jing. The Influence of Perioperative Nursing Intervention on Deep Vein Thrombosis of the Lower Extremities after Cesarean Section. JOURNAL OF CLINICAL RESEARCH, 2025, 42(5): 744-746.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.05.003 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I5/744

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