全髋置换术后早期并发深静脉血栓形成的多因素分析  

Multi-factors Analysis for Early Deep Venous Thrombosis After Total Hip Replacement

作　　者：冯永洪[1] 臧学慧[2] 张利[3] 黄中强[1] 莫景生 吴旭辉[1] 

机构地区：[1]东莞市中医院,广东东莞523005 [2]南方医科大附属南海医院,广东南海528200 [3]暨南大学附属第一医院,广东广州510632

出　　处：《实用医技杂志》2007年第9期1084-1087,共4页Journal of Practical Medical Techniques

摘　　要：目的:探讨多个因素对人工全髋关节置换术早期并发深静脉血栓形成(DVT)的影响及相应的预防和处理对策。方法:分析1208例首次全髋关节置换术病例,分析年龄、性别、体重、病种、合并症、假体固定方式、手术时间、输血、麻醉方式、患肢被动训练、术后防血栓药物等多因素对DVT的影响进行统计学分析。结果:1208例中发生早期并发DVT共93例,其中男39例,女54例,发生率为7.69%;性别、体重、病种、手术时间对DVT的发生无明显影响(P>0.05);年龄、合并症、假体固定方式、输血、麻醉方式、患肢被动训练、术后防血栓药物对DVT的发生有明显影响(P<0.05)。结论:年龄、合并症、假体固定方式、输血、麻醉方式、患肢被动训练、术后防血栓药物对DVT的发生有明显影响,我们应该认真对待积极预防。Objective To explore the effects of multi-factors for the early deep venous thrombosis(DVT)of total hip replacement and summarise some measures to prevent and treat the early DVT.Methods 1 208 cases of primary total hip replacement operation were analyzed.The statistical indexes included age,sex,body weight,disease category,other system diseases,prosthetic fixation,operative time,blood transfusion,anesthesia,postoperative paasive functional exercise,antithrombotics.Multi-factors Analysis was made for those ...

关 键 词：全髋关节置换 早期 深静脉血栓形成 多因素分析 

分 类 号：R687.4[医药卫生—骨科学]