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投稿时间：2024-05-23 网络发布日期：2025-05-20
投稿时间：2024-05-23 网络发布日期：2025-05-20
中文摘要: 目的 探讨气压治疗仪联合家属协作式风险预警干预预防剖宫产产后下肢静脉血栓的临床疗效。方法 回顾性选取 2021年 9月— 2023年 10月河北北方学院附属第一医院收治的 102例行剖宫产产妇，根据气压治疗仪联合家属协作式风险预警干预实施的时间（2022年 10月）为分界点，将 2021年 9月— 2022年 9月实施常规干预的 51例产妇作为对照组；将 2022年 10月— 2023年 10月实施常规干预、实施气压治疗仪联合家属协作式风险预警干预的 51例产妇作为观察组。比较两组下肢静脉血栓发生率、术后下肢疼痛情况［视觉模拟评分（VAS）］、首次下床时间和住院时间、凝血功能指标［血浆凝血酶原时间（PT）、活化部分凝血活酶时间（APTT）、血浆 D.二聚体、纤维蛋白原（FIB）］以及股静脉血流速、自我效能、生活质量。结果 术后观察组下肢静脉血栓发生率显著低于对照组（5.88% vs 19.61%，χ 2=4.320，P=0.038）。干预后，两组产妇 VAS评分均降低，且观察组低于对照组（ t=7.363，P＜0.01）；观察组首次下床时间和住院时间均低于对照组（P<0.01）；干预 1周后，两组产妇 TT、APTT、 FIB、股静脉血高峰流速、股静脉血平均流速、自我效能感量表、健康调查简表评分均显著升高，且观察组高于对照组（P<0.05）；两组产妇 D.二聚体水平均降低，且观察组低于对照组（ t=10.494，P＜0.01）。结论 对剖宫产产妇实施气压治疗仪联合家属协作式风险预警干预，能有效降低下肢静脉血栓发生风险。
Abstract:Objective To explore the clinical efficacy of pneumatic compression therapy (PCT) combined with familycollaborative risk warning intervention in preventing lower limb venous thrombosis after cesarean section. Methods A total of 102 cesarean section women treated at the First Affiliated Hospital of Hebei North University from September2021 to October 2023 were selected retrospectively. According to the time of implementation of PCT, combined with family collaborative risk warning intervention (October 2022) , the women who received routine intervention from September 2021 to September 2022 (n=51) were set as the control group, and the women who received the PCT joint intervention from October 2022 to October 2023 (n=51) were set as the observation group. The incidence of lower limb venous thrombosis, postoperative lower limb pain［Visual Analog Scale (VAS) ］, first time out of bed, and length of hospital stay were compared between the two groups. The indicators were also compared between the two groups, including plasma prothrombin time (PT) , activated partial thromboplastin time (APTT) , plasma D-dimer, fibrinogen (FIB) , femoral vein blood flow velocity, self-efficacy, and quality of life. Results The postoperative incidence of lower limb venous thrombosis in the observation group was significantly lower than that in the control group (5.88% vs 19.61%, χ 2=4.320,P=0.038) . After intervention, the VAS scores for both groups decreased, with the observation group having lower scores compared to the control group (t=7.363,P<0.01) . The first time out of bed and the length of hospital stay in the observation group were both shorter than those in the control group (P＜0.01) . One week after the intervention, the TT, APTT, FIB, femoral vein peak blood flow velocity, average femoral vein blood flow velocity, self. efficacy scale, and health survey scores in both groups significantly increased, with the observation group showing higher levels compared to the control group (P＜0.05) . The D-dimer levels in both groups decreased, with the observation group having lower levels compared to the control group (t=10.494,P<0.01). Conclusion The implementation of PCT combined with family collaborative risk warning intervention in cesarean section women can effectively reduce the risk of lower limb venous thrombosis.
keywords: Cesarean section Lower limb venous thrombosis Pneumatic compression therapy Collaborative risk warning for family members Coagulation function Self.efficacy Quality of life
文章编号： 中图分类号： 文献标志码：A
基金项目:河北省卫生健康委员会科研项目（20220030）
附件
| Author Name | Affiliation |
| LI Yanan, YANG Bo, SU Ling | Department of Obstetrics, the First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei 075000, China |
引用文本：
李亚楠，杨博，苏玲.气压治疗仪联合家属协作式风险预警干预预防剖宫产产后下肢静脉血栓[J].中国临床研究,2025,38(5):739-743.
李亚楠，杨博，苏玲.气压治疗仪联合家属协作式风险预警干预预防剖宫产产后下肢静脉血栓[J].中国临床研究,2025,38(5):739-743.