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髋关节大手术前深静脉血栓形成预测研究 被引量:2

Prediction of deep venous thrombosis before hip joint replacement
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摘要 [目的]研究髋关节大手术前深静脉血栓(deep venous thrombosis,DVT)形成的危险因素,为预防DVT的发生提供有效的预测指标。[方法]选取本院行髋关节置换术患者200例,其中发生DVT 78例,未发生DVT 122例,对所有入选患者的临床资料,手术情况、DVT发生的可能危险因素进行收集,通过单因素分析和logistic回归分析筛选出DVT的危险因素。[结果]Logistic回归显示高龄、高BMI、骨水泥使用、全麻是导致DVT发生的危险因素,而术前使用抗凝药物是DVT发生的保护因素。[结论]高龄、高BMI、骨水泥使用、全麻患者行髋关节大手术后容易发生DVT,术前使用抗凝药可以降低术后发生DVT的风险。 [ Objective] To analyze the risk factors for deep venous thrombosis (DVT) before hip joint replacement, and to provide effective predictive factors for the prevention of DVT. [ Methods ] Two hundred patients undergoing hip joint replace- ment in our hospital were enrolled as subjects. Seventy - eight of the patients had DVT. The clinical data, surgical information, and potential risk factors for DVT were collected in those patients. Univariate analysis and logistic regression analysis were used to identify risk factors for DVT. [ Results] The logistic regression analysis showed that old age, high body mass index (BMI), use of bone cement, and general anesthesia were risk factors for DVT, while preoperative use of the anticoagulant drug was a protective factor for DVT. [ Conclusion ] Patients with old age, high BMI, use of bone cement, or general anesthesia are likely to have DVT after hip joint replacement. Preoperative use of the anticoagulant drug can reduce the risk of DVT after hip joint replacement.
作者 刘剑伟 蒋卫平 LIU Jian -wei, JIANG Wei -ping. (Department of Orthopaedics, No. 2 People' s Hospital of Nanning, Nanning Guangxi, 530031, China)
出处 《中国矫形外科杂志》 CAS CSCD 北大核心 2016年第23期2148-2151,共4页 The Orthopedic Journal of China
基金 广西壮族自治区卫计委科研课题(编号:Z2014459)
关键词 髋关节大手术 深静脉血栓 危险因素 LOGISTIC回归分析 hip joint replacement, deep venous thrombosis, risk factor, logistic regression
作者简介 刘剑伟,副主任医师,硕士学位,研究方向:脊柱关节外科,(电话)13878825419,(电子信箱)doctorhappyliu@126.com 通讯作者:(电话)13977129050,(电子信箱)jwpdr@163.com
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