小剂量阿司匹林联合空气波压力治疗仪预防剖宫产术后下肢静脉血栓形成的效果

Effect of low-dose aspirin combined with air wave pressure therapy device in prevention of venous thrombosis of lower limb after cesarean section

  • 摘要:
      目的  分析剖宫产产妇应用小剂量阿司匹林联合空气波压力治疗仪对术后下肢静脉血栓形成的影响。
      方法  将122例本院进行剖宫产的产妇按照便利抽样法将入选产妇分为实验组(n=61)和对照组(n=61)。所有产妇均行下肢静脉静脉血栓预防护理,实验组产妇联合应用空气波压力治疗仪以及小剂量阿司匹林治疗。对比2组产妇下肢静脉血栓形成率、术后1周双下肢肿胀指数、静息心指数以及术后不同时间视觉模拟评分法(VAS)评分。
      结果  实验组产妇未出现下肢静脉血栓,对照组产妇下肢静脉血栓形成率为13.1%, 2组产妇下肢静脉血栓形成率差异有统计学意义(P < 0.05)。剖宫产术后1周,实验组产妇双下肢肿胀指数以及静息心指数均低于对照组,差异有统计学意义(P < 0.05)。实验组术后第3天、术后1周以及术后2周VAS评分均较对照组低,差异均有统计学意义(P < 0.05)。
      结论  剖宫产产妇应用小剂量阿司匹林联合空气波压力治疗仪可明显降低下肢静脉血栓形成率,减轻双下肢疼痛感。

     

    Abstract:
      Objective  To analyze the effect of low-dose aspirin combined with air wave pressure therapy device on postoperative lower extremity venous thrombosis in cesarean section.
      Methods  A total of 122 puerperae who underwent cesarean section in our hospital were divided into experimental group (n=61) and control group (n=61) by convenient sampling. All patients were given preventive nursing for venous thrombosis of the lower extremities, the experimental group was additionally given airwave pressure therapy device and low-dose aspirin. The rate of venous thrombosis of lower extremities of the two groups, the swelling index of the lower extremities at 1 week after surgery, the resting heart index, and the Visual Analogue Scale(VAS) score at different time points after operation were compared.
      Results  There was no patient with venous thrombosis of lower extremity in the experimental group, while the rate of venous thrombosis in the lower limbs of the control group was 13.1%. There was significant difference in the rate of venous thrombosis of lower limbs between two groups (P < 0.05). One week after cesarean section, the swelling index and resting heart index of the experimental group were significantly lower than those of the control group, the difference between the two groups was statistically significant (P < 0.05). The VAS scores of the experimental group were lower than those of the control group on the 3rd postoperative day, at 1-and 2-week after operation(P < 0.05).
      Conclusion  Low-dose aspirincombined with air wave pressure therapy device for cesarean section can significantly reduce rate of venous thrombosis in lower extremities and significantly relieve the pain of both lower extremities.

     

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