摘要
目的探讨定量运动干预对产后疲乏与下肢深静脉血栓(DVT)预防的临床疗效。方法收集2022年9月至2023年6月于南京医科大学附属妇产医院(南京市妇幼保健院)就诊的113例产妇的临床资料,根据干预方法的不同分为对照组(n=57,采用常规干预)和定量运动组(n=56,在对照组基础上给予产妇定量运动干预)。采用产后疲乏量表(PFS)、一般自我效能感量表(GSES)评估产妇产后疲乏状态和自我效能感,比较DVT发生情况及干预前后凝血指标[凝血酶时间(TT)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、纤维蛋白原(FIB)、D-二聚体(D-D)]变化情况。结果产后42 d,定量运动组产妇PFS评分低于对照组产妇,GSES评分高于对照组产妇,差异均有统计学意义(P﹤0.05)。对照组产妇干预后DVT发生率为3.51%(2/57),定量运动组产妇未发生DVT,两组比较,差异无统计学意义(P﹥0.05)。干预后,定量运动组产妇D-D、FIB水平低于对照组产妇,PT、APTT、TT长于对照组产妇,差异均有统计学意义(P﹤0.05)。结论定量运动干预可有效缓解产妇产后疲乏,增强产妇自我效能感,改善机体凝血情况,降低DVT发生风险,促进产后恢复。
Objective To investigate the clinical effect of quantitative exercise intervention on postpartum fatigue and prevention of deep vein thrombosis(DVT).Method Clinical data of 113 parturients treated in Women's Hospital of Nanjing Medical University(Nanjing Women and Children's Healthcare Hospital)from September 2022 to June 2023 were collected and divided into control group(n=57,with routine intervention)and quantitative exercise group(n=56,with quantitative exercise intervention on the basis of the control group)according to different intervention methods.Postpartum fatigue scale(PFS)and general self-efficacy scale(GSES)were used to evaluate postpartum fatigue status and self-efficacy,and the incidence of DVT was compared.The changes of coagulation indexes of thrombin time(TT),prothrombin time(PT),partially activated prothrombin time(APTT),fibrinogen(FIB),D-dimer(D-D)before and after intervention were compared.Result After 42 days postpartum,the PFS score of the quantitative exercise group was lower than that of the control group,and the GSES score was higher than that of the control group,with statistically significant differences(P<0.05).The incidence of DVT in the control group after intervention was 3.51%(2/57),while no DVT occurred in the quantitative exercise group,there was no statistically significant difference between the two groups(P>0.05).After intervention,the levels of D-D and FIB in the quantitative exercise group were lower than those in the control group,while PT,APTT,and TT were longer than those in the control group,the differences were statistically significant(P<0.05).Conclusion Quantitative exercise intervention can effectively alleviate postpartum fatigue,enhance self-efficacy,improve blood clotting,reduce the risk of DVT,and promote postpartum recovery.
作者
庄赛
骆莎莎
郑珮
赵诗仪
崔焱
Zhuang Sai;Luo Shasha;Zheng Pei;Zhao Shiyi;Cui Yan(Department of Obstetrics,Women's Hospital of Nanjing Medical University(Nanjing Women and Children's Healthcare Hospital),Nanjing 210004,Jiangsu,China;College of Nursing,Nanjing Medical University,Nanjing 211166,Jiangsu,China)
出处
《血管与腔内血管外科杂志》
2024年第10期1225-1229,共5页
Journal of Vascular and Endovascular Surgery
基金
中国社会福利基金会护爱基金(HLCXKY-20230162)。
关键词
定量运动
产后疲乏
下肢深静脉血栓
产妇
quantitative exercise
postpartum fatigue
lower extremity deep vein thrombosis
parturient women
作者简介
庄赛,主要从事产后疲乏与下肢深静脉血栓预防的研究,南京医科大学附属妇产医院(南京市妇幼保健院),南京医科大学护理学院;通信作者:崔焱,教授,E-mail:cyan_njmu@163.com。
