产褥期静脉血栓栓塞症高危因素及防护

High risk factors and protection of venous thromboembolism during puerperium

目的探讨产褥期静脉血栓栓塞症高危因素及防护措施。方法选择2018年6月至2019年6月本院1000例产妇为研究对象,调查产褥期静脉血栓栓塞症发生情况,其中,发生静脉血栓栓塞症68例,包括上肢静脉血栓22例,下肢深静脉血栓46例。以是否发生静脉血栓栓塞症为因变量,分娩方式、年龄、住院时间、妊娠期糖尿病、BMI、早产、妊娠期高血压为自变量进行多因素logistic回归分析,筛选出产褥期静脉血栓栓塞症高危因素,并提出防护措施。结果分娩方式、年龄、住院时间、妊娠期糖尿病、体质指数(BMI)是产褥期静脉血栓栓塞症高危因素。结论针对以上高危因素进行防护,以降低产褥期静脉血栓栓塞症发生率。

Objective To explore the high risk factors and preventive measures of venous thromboembolism during puerperium.Methods To select 1,000 pregnant women from June 2018 to June 2019 as the study objects for investigating the occurrence of puerperal venous thromboembolism.Among them,68 cases of venous thromboembolism occurred,including 22 cases of venous thrombosis of the upper extremity,46 cases of the deep venous thrombosis of the lower extremity,taking the incidence of the puerperal venous thromboembolism as the dependent variable,delivery mode,age,length of hospital stay,gestational diabetes,BMI,premature delivery as the independent variable to apply the multivariate logistic regression analysis and select the high-risk factors affecting puerperal venous thromboembolism,and protective measures were proposed.Results The delivery method,age,length of hospital stay,gestational diabetes and body mass index(BMI)were the high risk factors affecting venous thromboembolism during puerperium.Conclusion The above high-risk factors should be protected to reduce the incidence of venous thromboembolism during the puerperium.