子宫切除术后下肢深静脉血栓形成相关因素探讨

Approach on Related Factors of Patients With Lower Extremity Deep Venous Thrombus After Underwent Hysterectomy

目的 :探讨子宫切除术后下肢深静脉血栓形成 (简称DVT)的原因及合理的护理措施。方法 :选择子宫切除术后患下肢深静脉血栓形成的 30例病人为研究对象 ,与未发生血栓的 40例病人进行对照观察。结果 :两组术前在体重、输血量方面有统计学意义 (P <0 .0 5 ) ,术后血小板计数、红细胞压积血栓组明显高于对照组 ,子宫肌瘤病人术后并发血栓者其凝血指标与无血栓者比较无统计学意义 (P >0 .0 5 )。结论 :子宫切除术后DVT发生与多种因素有关。对高危病人进行早期预防、及时诊治、精心护理可减少DVT的发生。

Objective: to probe into both the causes and nursing measures in patients with lower extremity deep venous thrombus (DVT) after underwent hysterectomy. Methods: a total of 30 cases with lower extremity deep venous thrombus after underwent hysterectomy were selected as subjects. Another 40 cases did not developed DVT after underwent hysterectomy were taken as control group. Results: in terms of their body weight and quantity of blood transfusion, there was significant statistical significance (P<0.05) between the two groups. The hematocrit of postoperative patients of the test group was remarkably higher than that of the control group patients. However, in terms of coagulation indexes of postoperative patients, there was no significant difference between the two groups (P>0.05). Conclusion: the occurrence of DVT in patients underwent hysterectomy was related to multiple factors. For those of high risk patients, to perform early stage prophylaxis, diagnosed and treated in timely, and nursing meticulously may decrease the incidence of DVT.