气压治疗联合依诺肝素钠注射液对剖宫产术后下肢深静脉血栓的预防价值

doi:10.3969/j.issn.1671-7171.2025.08.018

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摘要【目的】探讨气压治疗联合依诺肝素钠注射液对剖宫产术后下肢深静脉血栓(DVT)的预防价值。【方法】选取2021年5月至2024年5月在开封祥符区第一人民医院行剖宫产的200例孕妇,按照随机数字表法分为对照组(予以依诺肝素钠注射液治疗)和观察组(在对照组基础上予以气压治疗),每组100例。比较两组凝血功能指标[D-二聚体(D-D)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)]、下肢静脉血流速度、DVT发生情况。【结果】产后1周,观察组D-D水平低于对照组,PT、APTT长于对照组(P<0.05);观察组股深静脉、腘静脉、胫后静脉血流速度高于对照组(P<0.05);观察组的DVT发生率低于对照组(P<0.05)。【结论】气压治疗联合依诺肝素钠注射液可有效改善凝血功能与血流动力学指标,且降低剖宫产术后DVT的发生率。

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	石动菊
	王宁
	霍会婵

关键词 ：静脉血栓形成, 下肢, 依诺肝素, 剖宫产术

Abstract：【Objective】To investigate the preventive value of pneumatic compression therapy combined with enoxaparin sodium injection against lower extremity deep vein thrombosis (DVT) after cesarean section. 【Methods】 A total of 200 pregnant women who underwent cesarean section at the First People's Hospital of the Xiangfu District ,Kaifeng from May 2021 to May 2024 were selected and divided into the control group (treated with enoxaparin sodium injection) and the observation group (treated with additional pneumatic compression therapy based on the control group) using a random number table method, with 100 cases in each group. Coagulation function indicators [D-dimer (D-D), prothrombin time (PT), activated partial thromboplastin time (APTT)], lower extremity venous blood flow velocity, and the incidence of DVT were compared between the two groups. 【Results】 After surgery, the D-D level in the observation group was lower than that in the control group, while PT and APTT were longer than those in the control group (P<0.05). The blood flow velocities in the deep femoral vein, popliteal vein, and posterior tibial vein in the observation group were higher than those in the control group (P<0.05). The incidence of DVT in the observation group was lower than that in the control group (P<0.05). 【Conclusion】Pneumatic compression therapy combined with enoxaparin sodium injection can effectively improve coagulation function and hemodynamic indicators, and reduce the incidence of DVT after cesarean section.

Key words： Venous Thrombosis Lower Extremity Enoxaparin Cesarean Section

收稿日期: 2025-06-06

中图分类号:

R719.8

引用本文:

石动菊, 王宁, 霍会婵. 气压治疗联合依诺肝素钠注射液对剖宫产术后下肢深静脉血栓的预防价值[J]. 医学临床研究, 2025, 42(8): 1357-1359.
SHI Dongju, WANG Ning, HUO Huichan. Preventive Value of Pneumatic Compression Therapy Combined with Enoxaparin Sodium Injection against Lower Extremity Deep Vein Thrombosis after Cesarean Section. JOURNAL OF CLINICAL RESEARCH, 2025, 42(8): 1357-1359.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.08.018 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I8/1357

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