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| 妊高症产后并发下肢深静脉血栓形成的预防研究 |
| Prevention of lower extremity deep venous thrombosis after pregnancy induced hypertension |
| 投稿时间：2021-07-21 |
| DOI：10.3969/j.issn.1000-0399.2022.03.010 |
| 中文关键词: 泵踝运动 下肢气压治疗 妊高症 深静脉血栓形成 血流速度 凝血功能 |
| 英文关键词: Ankle pumping exercise Lower extremity pneumatic therapy Pregnancy induced hypertension Deep venous thrombosis Blood flow velocity Coagulation function |
| 基金项目:邢台市科技计划项目(项目编号:2019ZC250) |
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| 中文摘要: |
| 目的 探讨妊高症产后并发下肢深静脉血栓形成(DVT)的预防方案,为临床治疗提供指导。方法 选取2018年5月至2019年5月河北省邢台市第三医院收治的84例妊高症产后患者,采用随机数字表法分为常规组与试验组,每组42例。常规组给予下肢气压治疗+常规药物治疗,试验组在常规组基础上联合踝泵运动。比较两组患者治疗前后下肢静脉血流速度、凝血功能指标及[活化部分凝血酶原时间(APTT)、凝血酶原时间(PT)、凝血酶时间(TT)、纤维蛋白原(Fbg)]下肢DVT发生率的差异。结果 治疗后,试验组患者下肢静脉血流速度均大于常规组,且试验组治疗前后差值均大于常规组,差异均有统计学意义(P<0.05);治疗后,试验组APTT、PT、TT均长于常规组,Fbg浓度低于常规组,且试验组治疗前后差值均大于常规组,差异均有统计学意义(P<0.05);试验组下肢DVT发生率为2.44%,低于常规组的20.00%,差异有统计学意义(P<0.05)。结论 踝泵运动联合下肢气压治疗对妊高症患者产后并发下肢DVT的预防效果显著。 |
| 英文摘要: |
| Objective To explore the prevention of lower extremity deep venous thrombosis(DVT) after pregnancy induced hypertensionand to provide guidance for clinical treatment. Methods A total of 84 postpartum patients with PIH treated in the Third Hospital of Xingtai City,Hebei Province from May 2018 to may 2019 were randomly divided into two groupsby a random digital table.The routine group(42 cases) was given lower limb barometric therapy + routine drug therapy, while the experimental group(42 cases) was given ankle pump exercise on the basis of routine group. The lower extremity venous blood flow velocity, coagulation function indexes [including activated partial prothrombin time (APTT), prothrombin time (PT), thrombin time (TT), fibrinogen (FBG)] before and after treatment and the incidence of lower extremity DVT were compared between the two groups.Results After treatment the lower limb venous blood flow velocities in the experimental group were greater than those in the routine group, and the differences before and after treatment in the experimental group were greater than those in the routine group with statistical differences(P<0.05). After treatment the APTT,PT,and TT in the experimental group were longer than those in the routine group,and the Fbg concentration was lower in the experimental group,and the differences before and after treatment in the experimental group were greater than those in the routine group with statistical differences (P<0.05).During treatment the incidence of lower extremity DVT in the experimental group was 2.44%, which was lower than that in the routine group 20.00%, with a statistical difference(P<0.05).Conclusions Ankle pump exercise combined with lower extremity pneumatic therapy has a significant preventive effect on lower extremity DVT in postpartum patients with pregnancy induced hypertension. |
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