摘要
Abstract
Objective:To explore the effect of individualized preventive nursing based on risk assessment combined with Low Molecular Weight Heparin on the occurrence of lower deep vein thrombosis(DVT)in pregnant women with preeclampsia after cesarean section.Method:A total of 64 pregnant women with preeclampsia who underwent cesarean section in Department of Obstetrics and Gynecology,Yingtan City People's Hospital from January 2022 to June 2023 were selected and divided into control group(n=32,given routine preventive nursing combined with Low Molecular Weight Heparin)and observation group(n=32,individualized preventive nursing based on risk assessment was performed on the basis of control group)by random number table method.The occurrence of lower DVT,lower limb circumference and coagulation function indicators[activated partial thromboplastin(APTT),prothrombin time(PT)and platelet count(PLT)]were compared between two groups.Result:Compared with the control group(25.00%),the incidence of lower DVT in observation group(3.13%)was significantly lower(P<0.05).5 days after operation and at discharge,the lower limb circumference of observation group[(39.74±3.27),(38.79±3.38)cm]were smaller than those of control group[(41.75±4.04),(40.68±3.54)cm](P<0.05).7 days after operation,the levels of APTT and PT were prolonged and levels of PLT were increased in both groups,and compared with the levels of the control group[(32.28±2.59)s,(10.63±1.64)s,(244.73±19.47)×109/L],APTT and PT[(34.37±2.71)and(11.57±1.16)s]in the observation group were significantly longer,and PLT[(253.95±13.81)×109/L]was significantly higher(P<0.05).Conclusion:Individualized preventive nursing based on risk assessment combined with low molecular weight heparin for pregnant women with preeclampsia can effectively reduce the risk of lower DVT after cesarean section,reduce the degree of lower limb circumference,and improve coagulation function.关键词
风险评估/个体化预防护理/低分子肝素/子痫前期/剖宫产/下肢深静脉血栓Key words
Risk assessment/Individualized preventive nursing/Low molecular weight heparin/Preeclampsia/Cesarean section/Lower deep vein thrombosis
