剖宫产围手术期深静脉血栓形成的相关因素分析及护理对策

The related factors of deep vein thrombosis( DVT ) in perioperative caesarean patients and nursing countermeasures

目的探讨剖宫产围术期深静脉血栓(DVT)形成的相关因素与护理对策。方法 142例剖宫产围手术期DVT患者作为观察组,62例无DVT剖宫产患者作为对照组,分析剖宫产围手术期DVT相关因素,并探讨护理对策。结果两组产妇年龄、吸烟史、ESR比较无统计学差异(P>0.05),而在BMI、避孕药物使用史、体育锻炼、高血压、糖尿病、D-dimer、AT-Ⅲ、APTT、FIB、CRP方面比较差异显著(P<0.05或P<0.01)。结论剖宫产围手术期DVT形成与肥胖、避孕药物使用、体育锻炼、高血压、糖尿病、血液粘稠度等密切相关,临床护理过程中应加强对高危产妇的护理,以降低DVT发生率以及意外情况的发生。

Objective To discuss the related factors and nursing countermeasures of DVT in caesarean perioperative patients. Methods 142 caesarean perioperative patients with DVT were divided into the observation group,62 caesarean perioperative patients without DVT were divided into the control group,then the related factors and the nursing countermeasures were discussed and analyzed. Results There was no significantly difference in age,smoking history and ESR between the two groups（ P〉0. 05）,but the differences in BMI,contraceptive drug use history,physical exercise,hypertension,diabetes,D- dimer,AT- III,APTT,FIB and CRP were statistically significantly（ P〈0. 05 or P〈0. 01）. Conclusions DVT occurred in caesarean perioperative patients has a close relationship with obesity,contraceptive use,physical exercise,hypertension,diabetes and blood viscosity. Patients with high- risk factors should be strengthening the care in clinical nursing process to reduce the incidence of DVT and contingencies.