摘要
目的:探讨体位干预对剖宫产术后下肢深静脉血栓形成(LEDVT)的影响。方法:将1170例剖宫产产妇随机分为观察组590例和对照组580例,观察组于剖宫产术后采用体位干预,而对照组则采用常规体位。分别观察、记录两组产妇产后下肢肿胀、疼痛及发生LEDVT的情况,并进行对照比较。结果:观察组术后下肢肿胀、疼痛发生率为2.37%,LEDVT发生率为0.85%;对照组下肢肿胀、疼痛发生率为5.69%,LEDVT发生率为3.10%。两组比较均有极显著性差异(P<0.01)。结论:体位干预能有效地预防剖宫产术后LEDVT的发生,对减少产后并发症、促进产后恢复具有重要的临床意义。
Objective: To explore the effect of posture intervention on the lower extremity deep venous thrombosis( LEDVT) after cesarean section. Methods : 1170 parturient who received cesarean section were randomly divided into observation group ( n = 590) and control group (n = 580). The posture intervention was conducted after cesarean section in Observation group, while the conventional posture was taken in control group. Lower limb swelling and pain of parturient and incidence of LEDVT were recorded and compared between the two groups. Results: The incidence of lower limb swelling and pain was 2.37%, LEDVT was 0.85% in observation group and that was 5.69% and 3.10% in control group. The comparison was significantly different between the two groups ( P 〈 0. 01 ). Conclusion : The posture intervention can effectively prevent from LEDVT after cesarean section, which has the clinical significance of reducing complications and promoting post - partum resumption of the parturient.