子痫前期患者剖宫产术后静脉血栓预防措施的研究

Study on Prevention of Venous Thrombosis in Patients with Preeclampsia After Cesarean Section

目的讨论子痫前期患者剖宫产术后预防静脉血栓的措施。方法选取2018年3月至2019年7月山东省乳山市人民医院子痫前期接受剖宫产术后的92例患者为研究对象,采用随机数字表法分为观察组和对照组,各46例。对照组采取常规的低分子肝素和下肢空气压力波治疗,观察组在常规治疗基础上增加健康教育和踝泵运动训练。比较2组患者的血栓发生率、拔管后的排尿时间以及排气时间。结果观察组患者血栓发生率、拔管后的排尿时间以及排气时间均低于对照组,组间比较差异有统计学意义(P<0.05)。结论在常规治疗的基础上采取健康教育和踝泵运动训练对于子痫前期患者行剖宫产术后的静脉血栓预防具有很好的改善作用,另外在拔管后观察组患者的排尿时间和排气时间均有大幅度缩短。

Objective To observe the preventive measures of venous thrombosis in preeclampsia patients after cesarean section.Methods 92 cases of preeclampsia patients who underwent cesarean section in Rushan People's Hospital of Shandong Province from March 2018 to July 2019 were selected and randomLy divided into observation group and control group,with 46 cases each.The control group received conventional LMWH and lower limb air pressure wave therapy,and the observation group received health education and ankle pump exercise training on the basis of conventional therapy.The incidence of thrombosis,urination time and exhaust time after extubation were compared between two groups.Results The incidence of thrombosis,urination time and exhaust time after extubation were lower in the observation group than the control group,and the differences between two groups were statistically significant(P<0.05).Conclusion Taking health education and ankle pump exercise training on the basis of conventional treatment has an excellent improvement effect on the prevention of venous thrombosis in preeclampsia patients after cesarean section,in addition,urination time and exhaust time after extubation in observation group have been greatly shortened.