摘要
目的探讨孕产妇发生下肢深静脉血栓的危险因素分析及护理防控措施。方法采集2019年10月-2023年2月于我院进行产检并分娩的88例孕产妇的临床资料分成两组进行回顾性分析。比较两组孕产妇凝血功能指标,采用单因素分析两组孕产妇临床资料,对其中差异有统计学意义的变量采用多因素Logistic回归分析。结果下肢深静脉血栓组孕产妇剖宫产分娩、产后出血量≥1000 mL、产褥期卧床时间≥72 h、有血栓史、有妊娠期高血压、有妊娠期糖尿病的占比均显著高于非下肢深静脉血栓组孕产妇(P<0.05)。多因素Logistic回归分析结果显示,剖宫产分娩、产后出血量≥1000 mL、产褥期卧床时间≥72h、有妊娠期高血压、有妊娠期糖尿病均为孕产妇发生下肢深静脉血栓的危险因素(P<0.05)。结论剖宫产分娩、产后出血量≥1000 mL、产褥期卧床时间≥72 h、有妊娠期高血压、有妊娠期糖尿病均为孕产妇发生下肢深静脉血栓的危险因素,可针对上述因素制定相关临床措施,预防孕产妇发生下肢深静脉血栓。
Objective To analyze the risk factors and nursing prevention and control measures for lower limb deep vein thrombosis in pregnant and postpartum women.Methods Clinical data of 88 pregnant women who underwent obstetric examination and delivered in our hospital from October 2019 to February 2023 were collected and divided into two groups for retrospective analysis.The coagulation function indexes of the two groups were compared.The clinical data of the two groups were analyzed by single factor,and the variables with statistical significance were analyzed by multi-factor Logistic regression.Results The proportion of pregnant women with lower limb deep vein thrombosis in caesarean section,postpartum bleeding volume≥1000 mL,puerperal bed rest time≥72 h,history of thrombosis,pregnancy induced hypertension,and pregnancy induced diabetes was significantly higher than that of pregnant women without lower limb deep vein thrombosis(P<0.05).Multivariate logistic regression analysis showed that Caesarean section delivery,postpartum bleeding volume≥1000 mL,puerperal bed time≥72 hours,pregnancy induced hypertension,and pregnancy induced diabetes were all risk factors for lower limb deep vein thrombosis in pregnant women(P<0.05).The incidence of deep vein thrombosis in the extremities was significantly higher in pregnant women with deep vein thrombosis than in those without(P<0.05).The proportion of cesarean section delivery,postpartum blood loss≥1000 mL,puerperal bed time≥72 h,history of thrombosis,gestational hypertension and gestational diabetes in the limb deep vein thrombosis group was significantly higher than that in the non-limb deep vein thrombosis group(P<0.05).The results of multivariate logistic regression analysis showed that cesarean section delivery,postpartum hemorrhage of≥1000 mL,postpartum bed rest of≥72 h,history of gestational hypertension,and history of gestational diabetes were all risk factors for deep vein thrombosis in pregnant women(P<0.05).Conclusion Caesarean section delivery,postpartum blood loss≥1000 mL,puerperal bed time≥72 hours,pregnancy induced hypertension,and pregnancy induced diabetes are all risk factors for pregnant women to develop lower limb deep vein thrombosis.Relevant clinical measures can be made to prevent pregnant women from developing lower limb deep vein thrombosis.
作者
刘国红
邢兵
LIU Guohong;XING Bing(Delivery Room,Anyang Maternal and Child Health Care Hospital,Anyang,Henan 455000,China;Henan Nursing Vocational College,Anyang,Henan,455000,China)
出处
《新疆医学》
2024年第8期958-962,共5页
Xinjiang Medical Journal
关键词
下肢深静脉血栓
孕产妇
危险因素
防控措施
lower limb deep vein thrombosis
Pregnant and parturient women
Risk factors
Prevention and control measures
作者简介
刘国红,女,主管护师,研究方向:产科助产。
