心血管病患者骨折后下肢深静脉血栓形成的相关分析  

Thrombosis in deep veins of lower extremities of cardiovascular disease patients after fracture

作　　者：祝春霞[1,2] 周长钰[1] 

机构地区：[1]天津医科大学第二医院心脏科,300211 [2]天津市天津医院

出　　处：《中华老年心脑血管病杂志》2014年第6期602-604,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的：研究伴或不伴有心血管病的同类下肢骨折患者下肢深静脉血栓形成（DV T ）的发生及相关情况。方法选取骨折患者584例，根据伴或不伴有冠心病和（或）高血压，将其分为伴有心血管病组235例和无心血管病组349例，心血管病组患者中，仅伴有原发性高血压89例，仅伴有冠心病53例，同时伴有原发性高血压和冠心病93例，比较心血管病组与无心血管病组下肢DVT的发生率、骨折后不同时间段下肢DVT 的发生率，不同年龄段骨折患者DVT的发生情况。结果与无心血管病组比较，心血管病组下肢DVT发生率明显升高（22．55％ vs 12．89％，P＜0．01）。2组骨折后0～7 d下肢DVT的发生率均明显高于骨折后8～14 d及＞14 d（P＜0．01）。2组年龄≥60岁患者DV T发生率明显高于年龄＜60岁患者。结论伴有心血管病且年龄≥60岁的下肢骨折患者更易于发生下肢DVT ，骨折后1周内是其好发时间段，加强对高危人群的重视并尽早采取预防措施有可能降低骨折后下肢DVT的发生。Objective To study the deep vein thrombosis （DVT ） in lower extremities of patients with or without cardiovascular disease after fracture .Methods Five hundred and eighty-four fracture patients were divided into cardiovascular disease （CVD） group （n=235） and non-cardiovas-cular disease （NCVD） group （n=349） .Patients in CVD group were further divided into subgroup A （with essential hypertension） ,subgroup B （with CHD） ,and subgroup C（accompanying essential hypertension and CHD） .Incidence of DVT in CVD group ,NCVD group ,subgroups A-C at different ages after fracture was compared .Results The incidence of DVT was significantly higher in CVD group than in NCVD group （P〈0 .01） ,in two groups on days 0-7 after fracture than on days 8-14 or 〉14 after fracture ,and in patients with their age ≥60 years than in those with their age 〈60 years .Conclusion DVT is easier to occur in CVD patients with their age ≥ 60 years than in those with their age 〈60 years after fracture .DVT usually occurs within 1 week after fracture .Importance attached to high risk population and measures taken as soon as possible against it can reduce DVT after fracture .

关 键 词：心血管疾病 下肢 骨折 静脉血栓形成 冠心病 高血压 

分 类 号：R683.42[医药卫生—骨科学] R54[医药卫生—外科学]