摘要
目的 探讨产后静脉血栓栓塞症(VTE)的高风险因素。方法 便利选取2020年1-12月在中国福利会国际和平妇幼保健院某产科病区产后并发VTE的52例产妇为观察组,选择与观察组分娩时间相邻3 d的产后未并发VTE的208例产妇进行1∶4的病例对照研究,通过单因素和logistic回归分析探讨产后并发VTE的高风险因素。结果 logistic回归分析显示,年龄≥35岁、计划性剖宫产或紧急剖宫产、分娩前BMI为25.0~29.9、血液凝血指标检查中血液活化部分凝血活酶时间(APTT)缩短是影响产后妇女发生VTE的独立危险因素,而妊娠期糖尿病与产后妇女发生VTE的相关性有待后续研究进一步明确。结论 高龄、分娩方式为剖宫产、APTT缩短、分娩前BMI较高的产妇产后更易并发VTE,医护人员应高度重视高危产妇的识别及早期干预,保证产妇安全。
Objective To explore high⁃risk factors for postpartum venous thromboembolism(VTE).Methods A total of 52 lying⁃in women with postpartum VTE in an obstetric ward of the International Peace Maternity&Child Health Hospital of China Welfare Institute from January to December 2020 were selected by convenience sampling and included in the observation group;208 lying⁃in women without postpartum VTE whose delivery time was 3 days adjacent to that of the observation group were selected and included in the control group;then,a 1∶4 case⁃control study was performed to explore the high⁃risk factors for postpartum VTE by univariate and logistic regression analysis.Results Logistic regression analysis showed that age≥35,planned or emergency cesarean section,antepartum BMI of 25.0-29.9 and shortened activated partial thromboplastin time(APTT)in coagulation test were independent risk factors for postpartum VTE in lying⁃in women.However,the correlation between gestational diabetes mellitus and postpartum VTE in lying⁃in women needs to be further clarified in subsequent studies.Conclusion Women with advanced maternal age,shortened APTT and higher antepartum BMI and who received cesarean section are more prone to postpartum VTE.Healthcare providers should attach great importance to the identification and early intervention of high⁃risk lying⁃in women to ensure their safety.
作者
曹晶雯
龚文艳
CAO Jingwen;GONG Wenyan(International Peace Maternity&Child Health Hospital of China Welfare In-stitute,Shanghai 200030)
出处
《上海护理》
2023年第6期36-40,共5页
Shanghai Nursing
作者简介
曹晶雯(1985-),女,护师,本科,主要从事产科护理工作;通信作者:龚文艳(1981-),女,主管护师,硕士,主要从事护理管理工作。E-mail:1452736330@qq.com。
