产后全面护理预防产妇剖宫产下肢深静脉血栓的效果观察

Observation on the Effect of Postpartum Comprehensive Nursing Care in Preventing Maternal Lower Extremity Deep Vein Thrombosis in Cesarean Delivery

目的:分析产后全面护理预防产妇剖宫产下肢深静脉血栓的有效性。方法:选取2022年6—12月新沂市中医医院收治的80例剖宫产产妇为研究对象,随机分为对照组和观察组,各40例。对照组实施常规护理,观察组在对照组基础上实施产后全面护理。比较两组下肢静脉血栓发生情况、凝血指标、下肢功能与生活质量评分及满意度。结果:观察组下肢静脉血栓发生率低于对照组(P=0.040);护理后,两组凝血酶原时间延长,D-二聚体水平下降,观察组优于对照组(P<0.05);护理后,两组下肢功能与生活质量评分升高,观察组高于对照组(P<0.05);观察组总满意率高于对照组(P=0.044)。结论:实施产后全面护理,可以有效预防剖宫产产妇发生下肢静脉血栓,改善产妇凝血状况、下肢功能与生活质量,提高其满意度。

Objective:To analyze the effectiveness of postpartum comprehensive nursing care in preventing maternal lower extremity deep vein thrombosis in cesarean delivery.Methods:Eighty cases of cesarean delivery mothers admitted to Xinyi Hospital of Traditional Chinese Medicine from June to December 2022 were selected as the study subjects and randomly divided into the control group and the observation group,each with forty cases.The control group implemented routine care,and the observation group implemented postpartum comprehensive care on the basis of the control group.The occurrence of lower extremity venous thrombosis,coagulation indexes,lower extremity function and quality of life scores and satisfaction were compared between the two groups.Results:The incidence of lower extremity venous thrombosis in the observation group was lower than that in the control group(P=0.040);after nursing,the prothrombin time of both groups was prolonged and the level of D-dimer was decreased,and the observation group was better than that of the control group(P<0.05);after nursing,the function of the lower extremities and quality of life scores of the two groups were elevated,and the observation group was higher than that of the control group(P<0.05);the total satisfaction rate of the observation group was higher than that of the control group(P=0.044).Conclusion:The implementation of postpartum comprehensive care can effectively prevent the occurrence of lower extremity venous thrombosis in women undergoing cesarean delivery,improve their coagulation status,lower extremity function and quality of life,and increase their satisfaction.