循证护理联合踝泵运动在预防剖宫产术后产妇发生下肢深静脉血栓中的应用效果

The Application Effect of Evidence-Based Nursing Combined with Ankle Pump Exercise in Preventing Lower Limb Deep Vein Thrombosis in Postpartum Women after Cesarean Section

目的探讨循证护理联合踝泵运动在预防剖宫产术后产妇发生下肢深静脉血栓(DVT)中的应用效果。方法选取2021年2月—2023年2月临沂市中心医院收治的80例行剖宫产手术的产妇为研究对象,按照随机数字表法将其分为对照组和观察组。对照组(n=40)实施踝泵运动,观察组(n=40)于对照组基础上实施循证护理。对比两组产妇的凝血指标、血液流变学指标、DVT发生情况。结果干预后,观察组的凝血酶原时间水平为(13.46±2.58)s,组织纤溶酶原抑制物水平为(0.98±0.18)AU/mL,活化部分凝血活酶时间水平为(31.72±3.55)s,均高于对照组的(11.25±2.05)s、(0.83±0.11)AU/mL、(27.11±3.12)s,组间差异有统计学意义(P<0.05)。观察组的红细胞沉降率水平为(14.28±2.13)mm/h,红细胞比容水平为(0.41±0.03)L/L,血浆粘度水平为(1.35±0.12)mPa·s,均低于对照组的(16.24±2.41)mm/h、(0.47±0.06)L/L、(1.58±0.18)mPa·s,组间差异有统计学意义(P<0.05)。观察组的DVT发生率为2.50%,低于对照组的20.00%,差异有统计学意义(P<0.05)。结论循证护理联合踝泵运动对改善剖宫产产妇术后血液流变学指标、凝血指标具有积极作用,可有效预防DVT的发生。

Objective To investigate the effect of evidence-based nursing combined with ankle pump exercise in preventing deep venous thrombosis(DVT)of lower extremity after cesarean section.Methods 80 pregnant women who underwent cesarean section in Linyi Central Hospital from February 2021 to February 2023 were selected as the research objects.According to the random number table method,they were divided into a control group and an observation group.The control group(n=40)carried out ankle pump exercise,and the observation group(n=40)implemented evidence-based nursing on the basis of the control group.The coagulation indexes,hemorheology indexes and the incidence of DVT were compared between the two groups.Results After intervention,the prothrombin time level of the observation group was(13.46±2.58)s,the tissue plasminogen inhibitor level was(0.98±0.18)AU/mL,the activated partial thromboplastin time level was(31.72±3.55)s,which were higher than of(11.25±2.05)s,(0.83±0.11)AU/mL and(27.11±3.12)s of the control group,and the differences between groups were statistically significant(P<0.05).The ESR level of the observation group was(14.28±2.13)mm/h,the hematocrit level was(0.41±0.03)L/L,and the plasma viscosity level was(1.35±0.12)mPa·s,which were lower than(16.24±2.41)mm/h,(0.47±0.06)L/L,(1.58±0.18)mPa·s of the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of DVT in observation group was 2.50%,which was lower than 20.00%in control group,and the difference was statistically significant(P<0.05).Conclusion Evidence-based nursing combined with ankle pump exercise has a positive effect on improving the hemorheological indexes and coagulation indexes of women after cesarean section,and can effectively prevent the occurrence of DVT.