全髋关节置换术后深静脉血栓形成的危险因素分析  

Risk factors for deep vein thrombosis in patients undergoing total joint replacement

作　　者：温辉林[1] 王友华[1] 顾永强[1] 刘璠[1] 

机构地区：[1]南通大学附属医院骨科,260001

出　　处：《江苏医药》2009年第2期145-147,共3页Jiangsu Medical Journal

基　　金：江苏省"科教兴卫"重点医学人才基金资助(RC2007087);江苏省卫生厅科研基金资助(H200522)

摘　　要：目的探讨全髋关节置换术(THR)后易发生下肢深静脉血栓(DVT)形成的危险因素。方法对145例患者均于手术前及术后第7天分别行双下肢彩色多普勒超声检查,明确是否有下肢DVT形成。将DVT发生与否作为因变量,把临床可疑因素作为自变量,先进行单因素分析,得出有显著差异性的因素,再进行多因素非条件logistic分析,筛选出DVT发生的主要影响因素。结果发生DVT45例,发生率31%。高龄、女性、双侧THR、全身麻醉、使用骨水泥等与DVT形成显著相关(P<0.05)。其中,性别、肥胖及骨水泥的使用,其术后发生DVT的风险倍数分别增加到10.012、3.086和8.834;保护因素1个,为术前患者血型是O型,术后发生DVT的可能性减少到0.191倍。结论THR患者术后发生DVT常存在多个危险因素。Objective To evaluate the risk factors for deep vein thrombosis(DVT) in patients undergoing total hip replacemen(THR).Methods DVT was examined with color Doppler flower imagine before operation and on the 7th postoperative day in 145 patients undergoing THR.The results were analyzed with logisti cregression analysis to determine the risk factors for DVT.ResultsThe total incidence of DVT was 31%(45/145).The development of DVT was significantly associated with old age,female,bilateral THR,general anesthesia,a...

关 键 词：深静脉血栓 全髋置换 危险因素 

分 类 号：R687.4[医药卫生—骨科学]