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目的:探讨适当的护理干预联合分级加压弹力袜及低分子肝素钠应用于妇科手术患者深静脉血栓形成的预防效果。方法:将符合条件的妇科术后患者根据住院时间顺序,共纳入100例患者,分为两组,每组50例,对照组护理措施为足踝主被动、旋转运动,被动挤压小腿肌群,膝关节伸屈运动,下肢抬举运动,深呼吸运动等,试验组为在对照组的基础上采用分级加压弹力袜联合低分子肝素钠。结果:对照组发生深静脉血栓7例(14%)。试验组发生深静脉血栓1例(2%),两组间深静脉血栓发生率的差别有统计学意义(P=0.027<0.05)。结论:运用护理干预联合分级加压弹力袜及低分子肝素钠,可有效地预防妇科盆腔手术患者深静脉血栓的发生,促使临床康复。
Objective: To investigate the preventive effect of appropriate nursing intervention combined with graded compression stockings and low molecular weight heparin on deep venous thrombosis in patients with gynecological surgery. Methods: According to the hospitalization time sequence, a total of 100 patients were enrolled and divided into two groups with 50 cases in each group. The nursing measures of control group were passive and rotational movement of ankle and main body, , Knee flexion and extension exercises, lower extremity lifting exercises, deep breathing exercises, the experimental group was based on the control group using graded compression stockings combined with low molecular weight heparin. Results: In the control group, deep venous thrombosis occurred in 7 cases (14%). One case (2%) had deep venous thrombosis in the experimental group, and the difference between the two groups was statistically significant (P = 0.027 <0.05). Conclusion: The nursing intervention combined with graded compression stockings and low molecular weight heparin can effectively prevent the occurrence of deep venous thrombosis in gynecologic pelvic surgery and promote clinical rehabilitation.