上肢创伤骨折并发深静脉血栓的危险因素分析  

Risk factors analysis of upper limb trauma fracture complicated with deep vein thrombosis

作　　者：杨星华[1] 官正华[1] 韦溦[1] 张忠荣[1] 谢志坚[1] 刘洋[1] 田华科[1] 

机构地区：[1]解放军第324医院创伤显微外科,重庆400020

出　　处：《检验医学与临床》2014年第8期1044-1045,共2页Laboratory Medicine and Clinic

摘　　要：目的探讨上肢创伤骨折并发深静脉血栓(DVT)的相关危险因素,为其预防提供参考。方法对2 158例上肢创伤患者进行回顾性分析。对DVT发生的相关因素进行单因素及多因素回归分析。结果上肢创伤骨折患者中DVT发生率为0.83%(18/2 158)。单因素分析发现年龄大于60岁、高血脂、体质量指数大于25kg/m2、糖尿病、粉碎性骨折、挤压伤、肩胛骨骨折、肱骨外科颈骨折、3处以上骨折9个危险因素与上肢DVT的发生有关。多因素分析发现肩胛骨骨折、3处以上骨折、肱骨外科颈骨折、高血脂4个因素为上肢创伤骨折并发DVT的独立危险因素。结论肩胛骨骨折、3处以上骨折、肱骨外科颈骨折、高血脂是上肢创伤骨折并发DVT的相关因素,正确认识这些危险因素对其防治具有指导意义。Objective To explore the risk factors of upper limb trauma fracture complicated with deep vein thrombosis（DVT ） and provide references for the prevention .Methods A total of 2 158 patients with upper limb trauma fracture were analyzed retrospectively .The risk factors were analyzed by single factor analysis and multifac-tor regression analysis .Results The incidence rate of complicated DVT in patients with upper limb trauma fracture was 0 .83% （18/2 158） .Single factor analysis indicated that more than 60 years old ,hyperlipemia ,body mass index more than 25 kg/m2 ,diabetes ,thrypsis ,crush injury ,shoulder blade fracture ,surgical neck fracture of humerus and more than 3 fractures were related with DVT .Multifactor analysis indicated that shoulder blade fracture ,more than 3 fractures ,surgical neck fracture of humerus and hyperlipemia were independent risk factors .Conclusion Shoulder blade fracture ,more than 3 fractures ,surgical neck fracture of humerus and hyperlipemia could be risk factors for up-per trauma fracture complicated with DVT .

关 键 词：上肢创伤骨折 深静脉血栓 危险因素 

分 类 号：R587.1[医药卫生—内分泌]