摘要
目的:探讨产后足浴方联合间歇性气压治疗仪对产后深静脉血栓形成的预防效果。方法:选取医院行剖宫产分娩的200例产妇,采用随机数表法分为研究组与对照组,各100例产妇。对照组给予常规术后护理,研究组在此基础上联合应用产后足浴方及间歇性气压治疗仪。气压治疗于术后6~12 h、生命体征稳定后启动,连续干预5 d。比较两组干预前后凝血功能指标[凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、纤维蛋白原(FIB)]、下肢静脉血流动力学指标[平均血流速度(Vmean)、最大血流速度(Vmax)]、不良反应发生率及产后24 h出血量。结果:治疗后,研究组产妇凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)高于对照组,其纤维蛋白原(FIB)低于对照组(P<0.05);研究组产妇下肢静脉平均血流速度(Vmean)和最大血流速度(Vmax)高于对照组(P<0.05)。研究组产妇不良反应发生率低于对照组(P<0.05)。两组产妇产后出血量比较,差异无统计学意义(P>0.05)。结论:产后足浴方联合间歇性气压治疗仪可以有效改善产妇凝血状态,促进下肢静脉血流,降低不良反应发生率,且不增加产后出血量。
Objective:To investigate the preventive effect of a postpartum foot bath formula combined with intermittent pneumatic therapy device on postpartum deep vein thrombosis(DVT).Methods:A total of 200 women who underwent cesarean delivery were selected and randomly divided into a study group and a control group using a random number table,with 100 cases in each group.The control group was given conventional postoperative care,while the study group was given postpartum foot bath formula and intermittent pneumatic therapy device on the basis of conventional care.Pneumatic therapy was initiated 6-12 hours after surgery when vital signs stabilized and continued for 5 consecutive days.The coagulation function indicators[prothrombin time(PT),activated partial thromboplastin time(APTT),fibrinogen(FIB)],lower extremity venous hemodynamic indicators[mean blood flow velocity(Vmean),maximum blood flow velocity(Vmax)],incidence of adverse reactions,and postpartum hemorrhage within 24 hours were compared between the two groups before and after intervention.Results:After the treatment,compared with the control group,the study group showed longer prothrombin time(PT)and activated partial thromboplastin time(APTT)and lower fibrinogen(FIB)(P<0.05).Meanwhile,the study group also exhibited higher mean blood flow velocity(Vmean)and maximum blood flow velocity(Vmax)in the lower extremities(P<0.05).The incidence of adverse reactions was lower in the study group(P<0.05).There was no statistically significant difference in the amount of postpartum hemorrhage within 24 hours between the two groups(P>O.05).Conclusion:Postpartum foot bath combined with intermittent pneumatic therapy device can effectively improve the coagulation status of postpartum women,promote the venous blood flow of lower limbs,reduce the incidence of adverse reactions,and does not increase the amount of postpartum hemorrhage.
作者
吴金兰
余玲玲
王晓东
钱程
爱琳
WU Jin-lan;YU Ling-ling;WANG Xiao-dong;QIAN Cheng;AI Lin(Wuhu City Hospital of Traditional Chinese Medicine,Wuhu 241000,Anhui)
出处
《安徽医专学报》
2026年第1期117-120,共4页
Journal of Anhui Medical College
基金
芜湖市科技局课题(编号:2023jc39)。
关键词
产后足浴方
间歇性气压治疗仪
深静脉血栓
血流动力学
凝血功能
postpartum foot bath formula
intermittent pneumatic compression therapy
deep vein thrombosis
hemodynamics
coagulation function
