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目的探讨医护一体化护理模式对剖宫产后下肢深静脉血栓形成的预防效果。方法收集血栓形成高危险的剖宫产孕妇资料,将其随机分为观察组和对照组,分别给予医护一体化护理和常规护理。观察两组患者满意度及深静脉血栓形成率。在整个过程中定期检测血浆DD二聚体(D-dimer,DD)和纤维蛋白原降解产物(fibrinogen degradation product,FDP)及炎症相关指标C反应蛋白(c-reactive protein,CRP)、白介素2(interleukin 2)和白介素6(interleukin 6)的变化。结果观察组与对照组相比患者满意度明显升高,观察组深静脉血栓发生率(3.3%)明显低于对照组(12.2%),两者差异具有统计学意义(P<0.05)。DD二聚体和FDP产前两组无明显差异,产后观察组与明显低于对照组;观察组与对照组相比两者IL-2水平的变化无差异,IL-6、CRP相比对照组(96.7±17.6、55.6±11)明显高于观察组(10.6±5、50.3±20.2),差异具有统计学意义(P<0.05)。结论医护一体化护理模式能有效降低剖宫产术后DVT形成发生率。
Objective To explore the preventive effect of integrated medical care model on deep venous thrombosis of lower limbs after cesarean section. Methods The data of cesarean section pregnant women who were at high risk of thrombosis were collected and randomly divided into observation group and control group, which were given integrated medical care and routine nursing respectively. Satisfaction and deep venous thrombosis rate in both groups were observed. Plasma DD dimers (DD) and fibrinogen degradation product (FDP) and inflammatory-related indicators of C-reactive protein (CRP), interleukin 2 interleukin 2 and interleukin 6. Results The satisfaction of patients in observation group was significantly higher than that of control group. The incidence of deep venous thrombosis in observation group was significantly lower than that in control group (3.3% vs 12.2%, P <0.05). DD dimers and FDP prenatal two groups no significant difference in postpartum observation group and significantly lower than the control group; observation group compared with the control group there was no difference in IL-2 levels, IL-6, CRP compared with the control (96.7 ± 17.6,55.6 ± 11) was significantly higher than that of the observation group (10.6 ± 5,50.3 ± 20.2), the difference was statistically significant (P <0.05). Conclusion Integrated medical care model can effectively reduce the incidence of DVT after cesarean section.