Pressure therapy instrument in prevention of lower extremity venous thrombosis after cesarean section in scar uterus and nursing experience

Abstract

Objective To investigate the clinical value and precautions of pneumatic therapy device combined with routine postoperative nursing in the prevention of venous thrombosis of lower extremities after cesarean section in scar uterus. Methods 113 women who underwent selective cesarean section in our department from July, 2014 to July, 2015 were selected as a control group; and 146 women from January, 2016 to January, 2017, an observation group. Both groups underwent routine cesarean section postoperative care, and the observation group were treated by a barotherapy device; both groups were treated continuously for 6 days. The coagulation function indicators and the pain degree in both lower extremities were compared between the two groups; and the incidence of venous thrombosis of the lower extremities was counted. Results The APTT, TT, and PT of the observation group were significantly longer than those of the control group 6 days after the operation (all P 0.05). The VAS scores of the lower extremities in the observation group were significantly lower than those in the control group 3 and 6 days after the operation (both P<0.05). After 6 days’ treatment, no venous thrombosis of the lower extremities occurred in the observation group, and 4 in the control group, with an incidence rate of 3.54%; there was statistical difference between the two groups (χ2=6.003, P<0.05). Conclusion The barometer is a physical non-invasive treatment device. It is easy to use and for patients to accept, and can reduces the workload of nurses. The pressure therapy device combined with routine postoperative care has achieved positive results in the prevention of deep venous thrombosis of the lower extremities after cesarean section in scar uterus. Key words: Pressure therapy device; Scar uterus; Cesarean section; Lower extremity venous thrombosis; Nursing