Effects of targeted care combined with low molecular weight heparin on the incidence of deep venous thrombosis of lower extremities after cesarean section
10.3969/j.issn.1005-1678.2017.10.166
- VernacularTitle:针对性护理联合低分子肝素钙对剖宫产术后下肢深静脉血栓发生率的影响
- Author:
jing Qiao REN
1
;
xue Yin WANG
;
ling Xiang SUN
Author Information
1. 永康市妇幼保健院 产科
- Keywords:
cesarean section;
targeted nursing;
low molecular heparin calcium;
deep vein thrombosis of lower extremity
- From:
Chinese Journal of Biochemical Pharmaceutics
2017;37(10):373-375
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore effects of the nursing care combined with low molecular weight heparin on the lower extremity deep venous thrombosis after cesarean section incidence. Methods 192 patients who underwent cesarean section from October 2015 to October 2016 in Yongkang maternal and child health hospital, excluding the relevant taboos, according to the different nursing methods, were divided into the control group (n=96) and the study group (n=96). Two groups of patients after 24 h of cesarean section were treated with low molecular weight heparin calcium 5000 IU subcutaneous injection, once a day, continuous treatment for 5 days; the control group was given routine cesarean section nursing after the operation; the study group was given targeted nursing (psychological guidance, preoperative guidance, postoperative care, dietary guidance, exercise guidance, and environmental care). Results The incidence of deep venous thrombosis of patients (2.08%) in the study group was significantly lower than (9.38%) in the control group with statistical significance (P<0.05); the plasma D dimer in the study group was significantly lower than the control group with statistical significance (P<0.05); nursing satisfaction rate of patients in the study group was (95.83%) higher than (81.25%) of the control group with statistical significance (P<0.05). Conclusion The combination of targeted care plus low molecular weight heparin could improve the satisfaction of nursing and the quality of life, reduce the incidence of postoperative deep vein thrombosis. It is worthy of clinical application.
