Objective To investigate the guiding value of d-dimer on preventing postoperative deep vein thrombosis ( DVT) of gynecological surgical patients .Methods 288 cases with high risk factor of DVT in our hospital from January 2010 to May 2016 were selected and divided into group A ( 160 cases from January 2010 to May 2013 ) and group B ( 128 cases from June 2013 to May 2016 ) .Group A was given related measures to prevent DVT and group B was given related measures according to D-dimer( D-D) based on group A.After intervention,compare the d-dimer level and DVT,pulmonary embolism condition of the two groups . Results ① D-D of the two groups had no obvious difference before surgery and obviously increased after surgery ,group A increased more obviously than group B ( P<0.05 );② Occurrence of DVT of group A ( 45 cases,28.13%)was obviously higher than group B (14 cases,10.94%),offside(9.52%) DVT secondary pulmonary embolism was higher than left side ( 2.63%) , the difference was statistically significant ( P <0.05).Conclusion D-D and related measures can obviously lower occurrence rate of DVT of gynecological surgical patients ,it has certain prevention effect and important clinic significance .%目的 探讨D二聚体(D-D)在妇科手术患者术后下肢深静脉血栓形成(DVT)预防中的指导价值.方法选取2010年1月至2016年5月我院妇科收治的288例具有DVT高危因素的手术患者作为研究对象,根据时间分布将其分为A组(2010年1月至2013年5月收治的160例患者)和B组(2013年6月至2016年5月收治的128例患者),A组患者在术前术后予以预防DVT相关措施,B组患者在A组基础上根据D-D检测结果另予加以其他相关措施,干预结束后,观察比较2组患者术前术后D-D水平及DVT和肺栓塞的发生情况.结果 ①2组患者D-D术前无明显差异,术后较术前均有明显升高,且A组患者较B组升高明显(P<0.05);②A组患者术后DVT发生45例(28.13%)明显高于B组14例(10.94%),且右侧DVT继发肺栓塞发生率(9.52%)高于左侧(2.63%),比价差异间均具有统计学意义(P<0.05).结论D-D检测并及时予以相应措施可明显降低妇科手术患者术后下肢深静脉血栓的发生率.
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