李娇娥 时增玉 文国英

【摘 要】目的：探究中药足浴联合穴位按摩预防下肢静脉血栓的效果。方法：筛选160例高龄产妇随机法分为两组，对照组采用常规护理，观察组在对照组的基础上采用中药足浴联合穴位按摩，比较两组效果。结果：观察组总有效率高于对照组，数据有统计学差异（P<0.05）。两组护理前血浆D-D、hsCRP无统计学差异（P>0.05）；经护理干预，观察组血浆D-D、hsCRP均低于对照组，数据有统计学差异（P<0.05）。观察组护理满意度高于对照组，数据有统计学差异（P<0.05）。结论：中药足浴联合穴位按摩可有效预防高龄初产妇剖宫产术后发生下肢静脉血栓，值得推广。

【关键词】中药足浴；穴位按摩；高龄产妇；剖宫产术；下肢静脉血栓；护理

基金项目：广西壮族自治区南溪山医院科研项目（ NY20170006）

Nursing study on the prevention of lower extremity venous thrombosis after cesarean section in 80 elderly parturients by traditional Chinese medicine foot bath combined with acupoint massage

LI jiao’e， SHI Zengyu， WEN Guoying Obstetrics department of nanxishan Hospital of Guangxi Zhuang Autonomous Region zip code， Guilin， Guangxi 541002， China

【Abstract】Objective： To explore the effect of traditional Chinese medicine foot bath combined with acupoint massage on the prevention of lower extremity venous thrombosis. Methods： 160 elderly pregnant women were randomly divided into two groups. The control group was treated with routine nursing， and the observation group was treated with traditional Chinese medicine foot bath combined with acupoint massage on the basis of the control group. Results： The total effective rate of the observation group was higher than that of the control group， and the data were statistically different（P<0.05）. There was no significant difference in plasma D-D and hsCRP between the two groups before nursing（P>0.05）； after nursing intervention， the plasma D-D and hsCRP in the observation group were lower than those in the control group， and the data were statistically different（P<0.05）.The nursing satisfaction of the observation group was higher than that of the control group， and the data were statistically different Conclusion： Traditional Chinese medicine foot bath combined with acupoint massage can effectively prevent lower extremity venous thrombosis in elderly primiparous women after cesarean section， which is worthy of popularization.

【Key？Words】Traditional Chinese medicine foot bath； Acupoint massage； Elderly maternal； Cesarean section； Lower extremity venous thrombosis； Nursing

高齡产妇因年龄越大，生理变化越大，生育时容易发生的问题也就越多。二胎政策的开放高龄、产后便秘及合并症多，实际上出现下肢静脉血栓的可能性更高[1]。目前，我国剖宫产术后下肢静脉血栓发生率逐年上升，严重威胁母婴安全，实施有效的护理干预是预防高龄产妇剖宫产术后下肢静脉血栓形成的重要措施，中药浴足可达到促进气血运行等药物治疗作用[2]。中药浴足在产后康复中的应用效果已得到验证[3]。然而目前关于艾叶加干姜浴足配合按摩双下肢穴位预防下肢静脉血栓的研究报道尚无。为此，本院对160例高龄产妇开展护理干预分析，旨在探究中药足浴联合穴位按摩对预防下肢静脉血栓的效果，结果如下。……