剖宫产术后下肢活动对深静脉血栓形成的影响

The influence of activity in lower limb to prevent deep vein thrombosis in uterine-incision delivery parturiens

目的:预防剖宫产产妇术后深静脉血栓形成(DVT)。方法:筛选出符合条件且行剖宫产术的产妇60例,随机分为实验组和对照组各30例,实验组术后给予双下肢主被动活动,对照组进行术后早期活动宣教,并收集术前、术后第1日晨、术后第3日晨血常规及血凝4项数值,进行相关统计学比较。结果:两组产妇术后纤维蛋白原(Fbg)、红细胞比容(HCT)、凝血酶原时间(PT)统计学差异有显著性(P<0.01);实验组Fbg、HCT值明显低于对照组,PT较对照组显著延长。结论:对剖宫产产妇术后及时实施有效的双下肢主被动活动,可有效改善产妇血液高凝状态,降低深静脉血栓形成的危险,预防下肢深静脉血栓形成。

Objective： To prevent deep vein thrombosis by active-passive activity in uterine deliver, parturient. Methods： 60 case uterine-incision delivery parturint were divided into trained group with 30 eases and control group with 30 cases randomly. Testing of blood Regulation and hemoglutination tetrachoric were taken in the first and the third moming in postoperation. The trained group was asked active-passive activity in lower limb in postoperation, and early activity instructed in control group only. Results： Fbg of trained group is lower than control group （ P 〈 0.01 ） ; HCT of trained group is lower than control group （ P 〈 0.01 ） ; PT of trained group is significant prolongation than control group （ P 〈 0.01 ）. Fhg, HCT, PT are considered existing statisfis difference after intervention. Conclusion： Having been enforced active-passive activity in uterine-incision delivery parturient, It could efficiency improve blood hypercoagulabale state, reduce the risk of DVT and prevent DVT in lower limb.