Open Access Article
International Journal of Nursing Research. 2020; 2: (2) 31; 166-168 ; DOI: DOI:10.12208/j.ijnr.20200047.
Advances in preventive care of lower limb deep vein thrombosis in gynecological and obstetric surgery patients
妇产科手术患者下肢深静脉血栓形成的预防护理进展
作者：
李雯琦 *,
杨颜伈
云南省第一人民医院
*通讯作者：
李雯琦,单位：云南省第一人民医院；
发布时间: 2020-03-31 总浏览量: 867
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摘要
目的：探究妇产科手术患者下肢深静脉血栓形成的预防护理进展，主要针对宫颈癌根治术后的下肢深静脉血栓发生常见原因。方法：随机抽取我院2019年1月~2019年12月收治的80例宫颈癌根治术患者作为研究主体，回顾性分析80例宫颈癌根治术患者的一般资料与临床资料，探究下肢深静脉血栓形成的预防护理。结果：结合实验结果得出，妇产科患者术后出现下肢深静脉血栓（LDVT）的常见原因主要与血液流速减慢、血流淤滞、血液的高凝状态、血管内皮损伤、气腹的影响以及手术体位的影响有关。结论：研究表明，想要有效的预防妇产科患者术后出现LDVT，必须重视术前护理、术中护理以及术后的护理工作，而有关于术后LDVT的护理又分为心理护理、患肢护理、疼痛与压痛护理、抗凝、溶栓治疗护理等多个方面。
关键词： 妇产科手术；下肢深静脉血栓；LDVT；预防护理
Abstract
Objective: To investigate the progress of preventive care of lower extremity deep venous thrombosis in patients undergoing gynecological and obstetric surgery, mainly aiming at the common causes of lower extremity deep venous thrombosis after radical resection of cervical cancer. Methods: 80 patients with radical cervical cancer who were treated in our hospital from January 2019 to December 2019 were randomly selected as the research subjects, and the general and clinical data of 80 patients with radical cervical cancer were analyzed retrospectively, and deep vein thrombosis of the lower limbs was investigated. Formation of preventive care. Results: Combined with the experimental results, the common causes of lower extremity deep venous thrombosis (LDVT) in gynecological and obstetric patients are mainly related to the slowing of blood flow rate, blood stasis, hypercoagulable state of blood, vascular endothelial damage, pneumoperitoneum and the impact of surgical position. Conclusion : Studies have shown that to effectively prevent LDVT in gynecological and obstetric patients after surgery, attention must be paid to preoperative care, intraoperative care, and postoperative care, and postoperative LDVT care can be divided into psychological care, disease Limb care, pain and tenderness care, anticoagulation, thrombolytic therapy and many other aspects.
Key words： Obstetrics and Gynecology Surgery; Deep Venous Thrombosis of Lower Limbs; LDVT; Preventive Nursing
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引用本文
李雯琦, 杨颜伈, 妇产科手术患者下肢深静脉血栓形成的预防护理进展[J]. 国际护理学研究, 2020; 2: (2) : 166-168.