郝春芳

摘要：目的 分析剖宫产围产期护理干预对产妇下肢深静脉血栓形成（DVT）的预防效果。方法 选取本院2020年2月到2020年11月期间收治的186例剖宫产产妇进行研究，采用电脑随机编号法把其分成观察B组和对照A组，各93例，对照A组采用常规妇产科护理方法，观察B组在常规妇产科护理的基础上加入围产期护理干预，并对两组的下肢深静脉血栓发生率和凝血指标进行比较。结果 观察B组发生下肢深静脉血栓的几率远远的低于对照A组，12hD二聚体、凝血酶原时间等凝血指标显著的优于对照A组，两组存在较大差异，有统计学意义（P<0.05）。结论 采用常规妇产科护理方法对行剖宫产手术的产妇进行护理的过程中加入围产期护理干预措施，能够显著的对产妇发生下肢深静脉血栓的几率降低，能够获得更加良好的护理效果，值得在临床上进行推广和应用。

关键词：剖宫产围产期护理干预;下肢深静脉血栓;预防效果

[Abstract]Objective To analyze the preventive effect of perinatal nursing intervention on maternal lower extremity deep venous thrombosis（DVT）after cesarean section. Methods 186 cases of cesarean section in our hospital from February 2020 to November 2020 were selected and randomly divided into observation group B and control group A，93 cases in each group，The incidence of DVT and coagulation indexes were compared between the two groups. Results the incidence of DVT in group B was much lower than that in group A. the coagulation indexes such as 12h D-dimer and prothrombin time were significantly better than those in group A. There was a significant difference between the two groups（P < 0.05）. Conclusion the use of routine obstetrics and gynecology nursing methods for cesarean section in the process of maternal care to join the perinatal nursing intervention measures，can significantly reduce the probability of maternal lower extremity deep venous thrombosis，can obtain better nursing effect，is worthy of promotion and application in clinical.

[Key words]caesarean section perinatal nursing intervention;Deep venous thrombosis of lower extremity;Preventive effect

深静脉血栓（DVT）是产妇行剖宫产手术后常见性的、严重性的一种并发症，重要原因是产妇手术后需要相对长的卧床休息时间，因此，经常会导致腰背酸痛、四肢麻木等问题的出现，还有很到的几率并发DVT【1】。一旦并发DVT就会出现下肢肿胀、疼痛、行走困难等临床症状，在我国现阶段还没有有效的治疗手段，需要从预防的角度加强管理。具大量临床数据资料显示【2】，在围术期给予产妇有效的、高质量的护理干预措施，能够有效的对DVT发生的几率进一步降低，还能够帮助产妇尽快恢复出院。本研究选取本院2020年2月到2020年11月期间收治的186例剖宫产产妇作为研究对象，分析剖宫产围产期护理干预对产妇下肢深静脉血栓形成（DVT）的预防效果，取得显著的效果，现报告如下。

1 资料和方法

1.1一般……