孕产妇深静脉血栓形成危险因素及风险评估

Risk Factors and risk assessment of Maternal Deep Venous Thrombosis

目的对孕产妇深静脉血栓(DVT)形成危险因素进行分析,并对其中的风险进行评估。方法选取80例2016年2月至2018年10月在我院分娩的DVT产妇,将其列为观察组,再选择70例同期在我院分娩的未发生DVT产妇,将其列为对照组。对所有产妇的临床资料进行回顾性的分析,对两组产妇的孕产次数、分娩方式等进行比较。结果在进行非条件多因素Logistic回归分析后发现,分娩方式(剖宫产)、产后出血(有)、产褥期卧床时间(>72 h)、高血压(有)等是孕产妇深静脉血栓(DVT)形成的危险因素,(P<0.05)。结论临床上对孕产妇深静脉血栓(DVT)形成危险因素进行分析,并给予积极的措施进行预防,能够有效避免DVT的形成。

Objective To analyze the risk factors of deep venous thrombosis(DVT)in pregnant and lying-in women and to evaluate the risk.Methods 80 DVT parturients delivered in our hospital from February 2016 to October 2018 were selected as observation group,and 70 non-DVT parturients delivered in our hospital during the same period were selected as control group.The clinical data of all parturients were analyzed retrospectively,and the number of pregnancies and delivery modes of the two groups were compared.Results After unconditional multivariate logistic regression analysis,it was found that mode of delivery(cesarean section),postpartum hemorrhage(yes),time of lying in bed during puerperium(>72 h),hypertension(yes)were risk factors for DVT in pregnant and lying-in women(P<0.05).Conclusion Clinical analysis of risk factors of DVT in pregnant and lying-in women and positive measures can effectively avoid the formation of DVT.