探讨足底静脉泵仪联合腓肠肌按摩预防保胎孕妇深静脉血栓形成的应用.docVIP

精品论文 参考文献 探讨足底静脉泵仪联合腓肠肌按摩预防保胎孕妇深静脉血栓形成的应用 黄玉萍，胡素芬，廖冬兰，刘灵霞 深圳市龙岗区妇幼保健院 妇科，广东 深圳 518172 【摘 要】 目的 探讨保胎患者的常见严重并发症之一——深静脉栓塞。 方法 将2012 年9 月~2012 年12 月期间的收治的120 例保胎患者，分单双住院号， 单住院号60 例患者设为对照组, 双住院号60 例患者设为观察组，对照组采用预防深静脉栓塞常规的观察护理方法；观察组在常规护理方法的基础上,每天用足底 静脉泵仪治疗加腓肠肌按摩Bid，比较两组患者的深静脉栓塞发生情况。结果 观察组60 例无发生深静脉栓塞，发生率0 %；对照组60 例发生深静脉栓塞2 例， 发生率3.33 %，明显低于对照组，经比较差异有统计学意义(P＜0.05)。结论 使用足底静脉泵仪治疗加腓肠肌按摩有利于降低保胎患者深静脉栓塞的发生，值得 临床推广应用。 【Abstract】Objective One of the most severe complications of patients with deep vein embolism --tocolysis. Way 120 cases of fetus in 2012 September ~2012 patients during December were divided, single and double admission number, single hospitalization, 60 cases as the control group, two hospital number 60 cases as the observation group, control group used in prevention of deep venous thrombosis of the conventional nursing;the observation group in the conventional nursing method last, use sole vein pump therapy plus gastrocnemius Massotherapy Bid per day, compared two groups of patients with deep vein thrombosis occurred. Outcome The observation group of 60 patients without the occurrence of deep vein thrombosis, the incidence was 0%; the control group of 60 cases with deep vein embolism in 2 cases, the incidence was 3.33%, significantly lower than the control group, the difference has statistical significance (P lt; 0.05).Eonclusion In addition to the qastrocnemius muscle on sole vein pump apparatus massage helps to reduce the miscarriage of patients with deep vein embolism, worthy of clinical application. 【关键词】足底静脉泵仪；按摩腓肠肌；深静脉栓塞；孕妇 【Key words】Sole vein pump apparatus； Massage calf muscle；Deep vein thrombosis ； Pregnant woman 1 临床资料 1.1 一般资料 从2012 年9 月至2012 年12 月收治保胎患者120 例，分单双住院号，单住院号的60 例患者设为对照组, 双住院号的 60 例患者设为观察组，对照组患者年龄21 至38 岁，平均年龄25.5 岁，发生下肢深静脉血栓2 例，深静脉血栓发生率达3.33%，经积极 治疗治愈出院。观察组保胎患者60 例，年龄22 至39 岁，平均年龄 26.5 岁，发生下肢深静脉血栓0 例，深静脉血栓发生率0%。所有患 者都是怀第一胎，孕周7w—27w，无下肢静脉曲张，入院后常规多 普勒检查双下肢，排除入院前DVT 呈阳性者。深静脉血栓（DV