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目的:探讨临床路径在预防剖宫产术后下肢深静脉血栓形成(DVT)中的应用。方法:选取2016年3月至2017年2月阳西县妇幼保健院妇产科收治的剖宫产产妇200例,分为观察组和对照组两组,前者术后行临床路径方案;后者实施常规诊疗。记录并比较两组凝血功能指标、下肢肿胀率和DVT发生率。结果:护理前,两组的凝血指标比较,差异无统计学意义(P>0.05);护理后,两组均有所改善,观察组的凝血功能指标明显优于对照组,差异具有统计学意义(P<0.05)。通过对比,观察组的下肢肿胀率10.00%,DVT发生率为3.00%,明显低于对照组的25.00%和12.00%,差异具有统计学意义(P<0.05)。结论:对剖宫产产妇实施临床路径方案,更能有效降低凝血指标值,预防产妇下肢肿胀和DVT的形成。
Objective: To investigate the clinical application of clinical pathway in the prevention of deep vein thrombosis (DVT) after cesarean section. Methods: From March 2016 to February 2017, 200 maternal cesarean section women in obstetrics and gynecology department of Yangxi Maternal and Child Health Hospital were divided into two groups: observation group and control group. The former was followed by clinical pathway plan. The latter Perform routine treatment. Record and compare the coagulation function index, lower extremity swelling rate and DVT incidence. Results: Before nursing, there was no significant difference in coagulation index between the two groups (P> 0.05). After nursing, the improvement of both groups was observed. The coagulation index of the observation group was significantly better than that of the control group, the difference was statistically significant (P <0.05). By contrast, the lower limb swelling rate was observed in observation group 10.00%, DVT incidence was 3.00%, significantly lower than the control group 25.00% and 12.00%, the difference was statistically significant (P <0.05). Conclusion: The clinical pathway plan of cesarean section maternal is more effective in reducing the value of coagulation index, preventing maternal lower extremity swelling and DVT formation.