Analysis of the effect of perioperative fast recovery surgical nursing on deep venous thrombosisin women with planned cesarean section
围术期快速康复外科护理对计划性剖宫产产妇深静脉血栓的影响分析

摘要

目的 本文主旨在针对计划性剖宫产围术期采取快速康复外科护理对产妇深静脉血栓的影响及效果。方法 挑选2020年1月—2021年12月于本院妇产科进行计划性剖宫产的459例产妇作为本次实验的研究对象，采用奇偶数随机分配的方式分为参照组（n=224）和研究组（n=225）两个组别。两组分别采用不同的护理方式实施干预，参照组采取基础护理干预，研究组实行快速康复外科护理，对比两组患者手术后的凝血功能、术后住院时间、下床活动时间、深静脉血栓发生率及两组患者的护理满意度。结果 研究组患者的深静脉血栓发生为（0）＜参照组（1.7%），研究组患者平均住院时间（5.2±1.4）天，相对参照组（6.1±1.5）天较短，并且研究组的凝血各项指标均优于参照组，患者护理满意度（96%）高于参照组（85%）。结论 通过在计划性剖宫产围术期对产妇实行快速康复外科护理，临床效果较为理想，使患者能够提升自身凝血功能，加快产后恢复，有效规避产后深静脉血栓的发生，提高产妇的身体机能，且减少术后住院治疗时间，同时此护理模式得到患者的认可，满意度较高，值得推广。

Abstract

Objective the purpose of this paper is to realize the concept of rapid rehabilitation in the planned cycle of caesarean section and its effect on deep vein thrombosis in mothers.
Methods 459 parturients who delivered in the delivery room and gynecological ward of the Institute from January 2020 to December 2021 were selected. The two groups took different nursing measures, adopted the method based on the concept of accelerated rehabilitation, and compared the coagulation function, postoperative hospital stay and bed rest time of the two groups, Incidence of deep venous thrombosis and nursing satisfaction of the two groups.
Results the level of deep venous thrombosis in the study group (0) was less than that in the reference group (1.7%), the average length of hospital stay (5.2 ± 1.4 days), the shorter days in the control group (6.1 ± 1.5 days) and the higher coagulation rate in the study group, Compared with the baseline group (85%), the ratio of the baseline group was 96%.
Conclusion   adopting the concept of rapid rehabilitation of parturients during caesarean section can improve the blood coagulation ability of patients, accelerate postpartum recovery, effectively avoid postpartum deep vein thrombosis, enhance the physical function of mothers, and shorten the postpartum hospital stay, And improve the satisfaction and popularity of this nursing model.