低分子肝素用于剖宫产术后深静脉血栓形成预防中的临床效果观察

Clinical effect of low molecular weight heparin in the prevention of deep vein thrombosis after cesarean section

目的分析剖宫产产妇应用低分子肝素对预防术后深静脉血栓的价值。方法选取剖宫产产妇62名,以随机数字表法分为试验组和对照组,各31例。两组患者均接受术后常规处理,试验组患者增加低分子肝素。比较两组住院时间、深静脉血栓发生率、满意度,术前和术后第4 d的凝血功能。结果试验组住院时间短于对照组,深静脉血栓发生率低于对照组,总满意度高于对照组;与术前比较,术后第4 d两组凝血酶原时间和活化部分凝血酶时间均缩短,纤维蛋白原均降低,且试验组纤维蛋白原高于对照组,差异有统计学意义(P<0.05)。结论低分子肝素应用于剖宫产有利于预防术后深静脉血栓的形成,凝血功能改善更加明显,进而促进产妇恢复,满意度较高。

Objective To analyze the value of low molecular weight heparin in the prevention of deep vein thrombosis after cesarean section.Methods 62 parturients with cesarean section were divided into experimental group and control group according to the random number table method,31 cases in each group.Patients in both groups received routine treatment after operation,and patients in experimental group were increased with low molecular weight heparin.The length of hospital sta%incidence of DVT,satisfaction,and coagulation function before and 4 days after operation were compared between the two groups.Results The hospital stay of the experimental group was shorter than that of the control group,the incidence of deep vein thrombosis was lower than that of the control group,and the total satisfaction of the experimental group was higher than that of the control group.Compared with preoperative,prothrombin time and activated partial thrombin time shortened and fibrinogen decreased in the two groups 4 days after operation,and fibrinogen in the experimental group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of low molecular weight heparin in cesarean section is beneficial to prevent the formation of deep vein thrombosis after cesarean section,the improvement of coagulation function is more obvious,and then promote the recovery of parturient women,with high satisfaction.