髋部骨折患者深静脉血栓形成的危险因素分析  

Risk factors analysis of deep vein thrombosis in patients with hip fracture

作　　者：董方[1] 刘德强[1] 朱安礼[1] 范孟坡[1] 王志震[1] 

机构地区：[1]泰山医学院附属聊城市第二人民医院骨二科,山东省聊城252600

出　　处：《中国基层医药》2014年第18期2733-2735,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 对髋部骨折患者深静脉血栓形成的特征及危险因素进行分析,为临床治疗和干预提供理论依据.方法 选取470例髋部骨折患者作为研究对象.对患者的临床资料进行回顾性分析,主要包括年龄、性别、合并损伤、合并其他系统疾病、骨折类型（是否陈旧性骨折）、D-二聚体水平、有无采取预防血栓形成的措施等.将所有患者按是否形成下肢深静脉血栓（DVT）分为DVT组和非DVT组.其中DVT组有83例,非DVT组有387例.将有无发生深静脉血栓作为因变量,探讨上述因素作为自变量,对术前深静脉血栓形成的特征及危险因素进行分析.结果 470例患者中有83例患者发生DVT,发生率为17.7％.两组患者在年龄（40/83与268/387）、合并其他系统疾病损伤（57/83与283/387）、预防血栓形成措施的应用（58/83与196/387）、D-二聚体水平（16/83与122/387）方面差异具有统计学意义（x2=13.712、14.836、9.876、5.313,均P ＜0.05）.年龄≥40岁、合并其他系统疾病损伤、未采取预防血栓形成的措施是影响DVT发生的独立危险因素.结论 年龄≥40岁、合并其他系统疾病损伤、未采取预防血栓形成的措施是影响DVT发生的独立危险因素.Objective To analyze the characteristics and risk factors of preoperative deep vein thrombosis in patients with hip fracture,and provide a theoretical basis for clinical treatment and intervention.Methods 470 patients with hip fracture were chosen as the objects of study.The clinical data of the patients were retrospectively analyzed,including age,gender,injury,combined with other systemic diseases,fracture type （whether old fractures）,two D-dimer level.All the patients with deep venous thrombosis of lower extremity were divided into DVT group and nonDVT group.There were 83 cases in DVT group,387 cases in non-DVT group.The factors like aboves as independent variables,presence of deep vein thrombosis as dependent variable,,preoperative deep venous thrombosis of the characteristics and risk factors were analyzed.Results 83 patients had DVT,the incidence rate was 17.7％.There were significant difference in age （40/83 vs 268/387）,combined with other system diseases （57/83 vs 283/387）,prevention measures （58/83 vs 196/387）,D-thrombosis two dimer level （16/83 vs 122/387） of the two groups （x2 =13.712,14.836,9.876,5.313,all P ＜ 0.05）.3 age ≥ 40 years,with other system diseases and injury,did not take to prevent the formation of thrombus measures were independent risk factors influencing the occurrence of DVT.Conclusion Age ≥40 years,combined with other system diseases and injury,don＇t take to prevent the formation of thrombus measures are independent risk factors influencing the occurrence of DVT.

关 键 词：髋部 深静脉血栓 骨折 危险因素 D-二聚体 

分 类 号：R683[医药卫生—骨科学]