张小勤，文飞.重庆市巴南区人民医院产科，重庆　4030；.重庆市巴南区人民医院三腺血管外科，重庆　4030

产科剖宫产术后下肢深静脉血栓管理中的危险因素与应对措施分析

张小勤1，文飞2
1.重庆市巴南区人民医院产科，重庆401320；2.重庆市巴南区人民医院三腺血管外科，重庆401320

目的研究探讨产科剖宫产术后管理中的危险因素与应对措施，为加强术后管理，预防诊治剖宫产术后下肢深静脉血栓等并发症提供依据。方法分别选取于该院妇产科同期住院诊治的40例剖宫产术后合并下肢深静脉血栓患者为观察组及40例剖宫产术后无下肢深静脉血栓患者为对照组，观察与比较分析两组患者管理中出现的相关危险因素并制定应对措施。 结果体质量指数、脑力劳动性职业、合并症及血浆D-二聚体水平是导致剖宫产术后出现下肢深静脉血栓的独立危险因素。结论积极控制体重、加强运动锻炼、治疗并发症等相关危险因素，对加强术后管理，预防和诊治剖宫产术后下肢深静脉血栓具有重要的意义，值得临床上进一步应用推广。

产科；剖宫产术后；下肢深静脉血栓；危险因素；应对措施

［Abstract］Objective To research and discuss the risk factors and countermeasures ofdeep venous thrombosis management after the obstetrical caesarean section and provide basis for enhancing postoperative management and predicting，diagnosing and treating the deep venous thrombosis after the caesarean section.Methods 40 cases of patients with deep venous thrombosis after caesarean section diagnosed and treated in the department of gynaecology and obstetrics of our hospital were selected as the observation group and 40 cases of patients without deep venous thrombosis were selected as the control group，and the observation group implemented risk management model，the control group implemented the general management measures，and the relevant risk factors of the two groups were observed，compared and analyzed and the corresponding countermeasures were made.Results The body mass index，mental labour profession，complications and plasma D-Dimer level were the independent risk factors of deep venous thrombosis after the caesarean section.Conclusion Active weight control，strengthening exercise，treating complications and other risk factors are vital to enhancing postoperative management，diagnosing and treating the deep venous thrombosis after the caesarean section，which is worth further promotion and application in clinic.

［Key words］Obstetrics department；Postoperative uterine incision；Deep venous thrombosis of lower limb；Risk factor；Countermeasure

剖宫产术是指通过外科手术的方式剖切孕妇的腹部及子宫，用以分娩出胎儿的一种妇产科常用分娩方法。此种分娩的方法多用于妊娠胎儿窘迫、产程迟滞、多胞胎、胎位不正、严重妊娠并发症等不适宜阴道自然分娩的孕产妇。有相关调查研究表明［1］，随着社会经济发展，生活质量的提高，饮食起居习惯的改变，剖宫产手术分娩的应用越来越普及，且有逐年升高的趋势。……