骨外科患者术后发生下肢深静脉血栓的相关影响因素及预防策略  被引量:12

The Related Effect Factors and Preventive Strategies of Lower Limb Deep Venous Thrombosis after Bone Surgery Patients

在线阅读下载全文

作  者:贾秀眉[1] 兰丽琴[1] 

机构地区:[1]瑞安市人民医院,浙江瑞安325200

出  处:《中国初级卫生保健》2015年第1期123-125,共3页Chinese Primary Health Care

摘  要:目的探讨骨外科患者术后下肢深静脉血栓(DVT)形成的相关影响因素,并分析其发生原因和预防措施。方法随机选择2012年7月—2014年7月本院骨外科手术患者631例,术后出现下肢DVT患者79例为观察组,未发生下肢DVT患者552例为对照组。主要观察患者性别、年龄、慢性疾病、手术时间、骨折部位及诊治措施等与下肢DVT等相关影响因素,并分析其预防策略。结果休克、术中使用止血带、合并慢性病、应用呼吸机及多发骨折患者下肢DVT发生率分别为28.47%(39/137)、15.87%(33/208)、17.16%(29/169)、19.05%(28/147)和16.58%(31/187),均高于其他患者,差异有统计学意义(P<0.05);观察组平均年龄、手术时间、机械通气时间和术后卧床时间分别为(58.32±6.11)岁、(162.74±14.36)min、(74.23±9.44)h和(11.58±3.17)d,均高于对照组,差异有统计学意义(P<0.05)。结论骨外科术后患者下肢DVT的发生主要与患者年龄、手术时间、机械通气时间及术后卧床时间、疾病严重程度、术中是否应用止血带、合并慢性病及骨折部位等相关。加强患者术后下肢DVT评估,并采取积极的预防措施和个性化的治疗方案,可有效预防和避免下肢DVT的发生。OBJECTIVE To explore the related risk factors of patients with lower limb deep venous thrombosis(DVT) formation afterbone surgery, and analyze the causes and preventive measures. METHODS 631 patients with bone surgery operation were randomly selected from January 2011 to July 2014 hospital. 79 patients with lower limb DVT after operation were as the observation group, 552 patients without lower extremity DVT were as the control group. To observe patients' gender, age, chronic disease, operation time,fracture site and treatment measures and other factors associated with lower limb DVT, and to analyze its prevention strategies. RESULTS The lower limb DVT incidence rate of patients with shock, the use of intraoperative tourniquet, chronic disease, ventilationand the multiple fractures were 28.47%(39/137), 15.87%(33/208), 17.16%(29/169), 19.05%(28/147) and 16.58%(31/187), higherthan those of other patients, there were significant difference(P〈0.05). The age, operation time, mechanical ventilation time and postoperative recovery time of the observation group were 58.32 + 6.11 y, 162.74 + 14.36 Min, 74.23 9.44 h and 11.58 3.17 d, higher thanthose in the control group, there were significant difference(P〈0.05). CONCLUSION There were related with the age of patients, operation time, mechanical ventilation time,postoperative recovery time, severity, intraoperative application of tourniquet, accompaniedchronic diseases and the fracture site for the incidence of lower limb DVT of bone surgery postoperative. To strengthen evaluation ofpostoperative patients with lower limb DVT, and take active preventive measures and personalized program, which could effectivelyprevent and avoid the occurrence of lower limb DVT.

关 键 词:骨外科 手术 下肢深静脉血栓(DVT) 影响因素 预防策略 

分 类 号:R654.3[医药卫生—外科学]

 

参考文献:

正在载入数据...

 

二级参考文献:

正在载入数据...

 

耦合文献:

正在载入数据...

 

引证文献:

正在载入数据...

 

二级引证文献:

正在载入数据...

 

同被引文献:

正在载入数据...

 

相关期刊文献:

正在载入数据...

相关的主题
相关的作者对象
相关的机构对象