归芪艾益汤足浴对剖宫产术后下肢深静脉血栓形成的预防作用分析
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摘要
目的:分析剖宫产术后产妇采用归芪艾益汤足浴对下肢深静脉血栓形成的预防性作用。方法:选取2015年8月-2018年8月笔者所在医院剖宫产分娩产妇100例,分为两组,剖宫产术后采用一般护理未接受中药足浴的50例产妇设为对照组,在一般护理基础上进行中药足浴护理的50例产妇设为中药足浴组。对比两组患者术后排气时间、恶露量、泌乳量、睡眠评分,并发症发生率、下肢深静脉血栓发生率。结果:中药足浴组产妇术后排气时间、恶露量、PSQI评分明显优于对照组,且泌乳量明显多于对照组,差异均有统计学意义(P<0.01)。中药足浴组产妇并发症发生率为2.00%,下肢深静脉血栓发生率为0,对照组产妇并发症发生率为16.00%,下肢深静脉血栓发生率为8.00%,差异均有统计学意义(P<0.05)。结论:在剖宫产术后患者中采取归芪艾益汤足浴,可有效缩短患者术后排气时间,减少恶露量,增加泌乳量,改善睡眠,减少术后并发症及下肢静脉血栓形成,效果理想。
Objective:To analyze the preventive effect of Guiqi Aiyi Decoction foot bath on deep vein thrombosis of lower limbs in parturients after cesarean section.Method:A total of 100 parturients delivered by cesarean section in our hospital from August 2015 to August 2018 were selected.They were divided into two groups,the 50 cases in control group were treated with general nursing without traditional Chinese medicine foot bath after cesarean section,while 50 cases in traditional Chinese medicine foot bath group were treated with traditional Chinese medicine foot bath on the basis of general nursing after cesarean section.The time of exhaust,lochia volume,lactation volume,sleep score,incidence of complications and incidence of deep venous thrombosis in lower extremities were compared between the two groups.Result:The exhaust time,lochia volume and PSQI score of the parturients in the traditional Chinese medicine foot bath group were significantly better than those in the control group,and the lactation volume was significantly more than that in the control group,the differences were statistically significant(P<0.01).The incidence of complications was 4.00% and the lower extremity deep venous thrombosis was 0 in the traditional Chinese medicine foot bath group,which were 16.00% and 8.00% in the control group,respectively,the differences were statistically significant(P<0.05).Conclusion:Guiqi Aiyi Decoction foot bath can effectively shorten the postoperative exhaust time,reduce lochia,increase lactation,improve sleep,reduce postoperative complications and lower extremity venous thrombosis in patients after cesarean section.
Objective:To analyze the preventive effect of Guiqi Aiyi Decoction foot bath on deep vein thrombosis of lower limbs in parturients after cesarean section.Method:A total of 100 parturients delivered by cesarean section in our hospital from August 2015 to August 2018 were selected.They were divided into two groups,the 50 cases in control group were treated with general nursing without traditional Chinese medicine foot bath after cesarean section,while 50 cases in traditional Chinese medicine foot bath group were treated with traditional Chinese medicine foot bath on the basis of general nursing after cesarean section.The time of exhaust,lochia volume,lactation volume,sleep score,incidence of complications and incidence of deep venous thrombosis in lower extremities were compared between the two groups.Result:The exhaust time,lochia volume and PSQI score of the parturients in the traditional Chinese medicine foot bath group were significantly better than those in the control group,and the lactation volume was significantly more than that in the control group,the differences were statistically significant(P<0.01).The incidence of complications was 4.00% and the lower extremity deep venous thrombosis was 0 in the traditional Chinese medicine foot bath group,which were 16.00% and 8.00% in the control group,respectively,the differences were statistically significant(P<0.05).Conclusion:Guiqi Aiyi Decoction foot bath can effectively shorten the postoperative exhaust time,reduce lochia,increase lactation,improve sleep,reduce postoperative complications and lower extremity venous thrombosis in patients after cesarean section.
引文
[1]王春媛.围产期护理干预对预防剖宫产下肢深静脉血栓的作用[J].现代诊断与治疗,2013,24(5):1181-1182
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[9] Li C L,Song L P,Chen D J,et al.Clinical observation of misoprostol in preventing bleeding during and after cesarean section[J].Journal of Tropical Medicine,2015,15(8):1045-1047.
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[11]花云.护理干预在预防妇科手术后下肢深静脉血栓形成患者中的应用效果[J].中国伤残医学,2014,22(7):245-246.
[12]毕立亚.探讨妇科盆腔手术围手术期预防下肢深静脉血栓形成的临床护理方法[J].中国现代药物应用,2018,12(2):166-167.
[13]张侠.妇科盆腔围手术期预防患者下肢深静脉血栓形成的综合护理效果观察[J].中国民康医学,2015,27(11):119-120.
[14]胡琼.用中医护理为行手术治疗的老年股骨颈骨折患者预防术后下肢深静脉血栓形成的效果[J].当代医药论丛,2017,15(7):8-9.
[15]潘春梅.Autar量表干预护理模式在预防妇科手术患者下肢深静脉血栓形成中的应用[J].医学临床研究,2015,32(4):721-722.
[2]李红梅.剖宫产下肢深静脉血栓形成原因及护理效果评价[J].吉林医学,2014,35(1):206-207.
[3]曾丽玲,邹文霞,周立平,等.专项护理对剖宫产术后临床评分和下肢静脉血栓形成的影响[J].护理研究,2017,31(18):2265-2266.
[4]赵爱梅.剖宫产术后下肢深静脉血栓形成的影响因素及护理进展[J].医药前沿,2013,1(34):11.
[5] Li Q M.Prevention and nursing of deep venous thrombosis of lower limbs after cesarean section[J].Journal of Practical Clinical Medicine,2015,2(18):94-97.
[6] An L M,Li X L,Shi X F,et al.Prevention and nursing analysis of deep vein thrombosis of lower limbs after cesarean section[J].Chinese Medical Guidelines,2014,2(24):20.
[7] Fu L.Effectiveness of Nursing Intervention in Preventing Deep Venous Thrombosis of Lower Limbs after Cesarean Section[J].Chinese and Foreign Medical Sciences,2013,32(14):161-162.
[8]杨会冰.剖宫产术后下肢深静脉血栓形成12例分析[J].实用医技杂志,2015,22(12):1320-1321.
[9] Li C L,Song L P,Chen D J,et al.Clinical observation of misoprostol in preventing bleeding during and after cesarean section[J].Journal of Tropical Medicine,2015,15(8):1045-1047.
[10] Shi A X,Chen C Y,Li H Y.The effect of preventive nursing measures on lower limb deep venous thrombosis after gynecological pelvic surgery[J].Qingdao Medical and Health,2015,47(6):453-455.
[11]花云.护理干预在预防妇科手术后下肢深静脉血栓形成患者中的应用效果[J].中国伤残医学,2014,22(7):245-246.
[12]毕立亚.探讨妇科盆腔手术围手术期预防下肢深静脉血栓形成的临床护理方法[J].中国现代药物应用,2018,12(2):166-167.
[13]张侠.妇科盆腔围手术期预防患者下肢深静脉血栓形成的综合护理效果观察[J].中国民康医学,2015,27(11):119-120.
[14]胡琼.用中医护理为行手术治疗的老年股骨颈骨折患者预防术后下肢深静脉血栓形成的效果[J].当代医药论丛,2017,15(7):8-9.
[15]潘春梅.Autar量表干预护理模式在预防妇科手术患者下肢深静脉血栓形成中的应用[J].医学临床研究,2015,32(4):721-722.