股骨粗隆骨折患者下肢深静脉血栓流行病学现状及危险因素分析  

Epidemiological current situation and risk factors of deep venous thrombosis in patients with femoral intertrochanteric fracture

作　　者：窦晨浩 鹿青[2] 杨淑红[3] 耿倩[4] 李天华 丁俊琴[5] DOU Chenhao;LU Qing;YANG Shuhong(The Third Hospital of Hebei Medical University,Hebei,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第三医院脊柱科,石家庄市050000 [2]河北医科大学第三医院骨伤科,石家庄市050000 [3]河北医科大学第三医院手术室,石家庄市050000 [4]河北医科大学第三医院关节科,石家庄市050000 [5]河北医科大学第三医院护理部,石家庄市050000

出　　处：《河北医药》2021年第9期1413-1416,共4页Hebei Medical Journal

摘　　要：目的分析股骨粗隆骨折患者住院期间下肢深静脉血栓的流行病学现状及危险因素。方法以研究目的为导向,设计《股骨粗隆骨折患者下肢深静脉血栓发生情况调查表》,回顾性收集2019年1月1日至2019年12月31日住院的股骨粗隆骨折患者的临床资料,主要包括患者的一般资料、合并症、手术相关信息、下肢深静脉血栓发生情况。统计股骨粗隆骨折患者住院期间下肢深静脉血栓发生的流行病学现状,分析股骨粗隆骨折患者发生下肢深静脉血栓的独立危险因素。结果纳入股骨粗隆骨折患者共1004例,其中下肢静脉血栓患者436例,非血栓患者568例,静脉血栓发生率为43.4%;术前下肢深静脉血栓316例占72.5%,术后下肢深静脉血栓120例占27.5%。性别、年龄、受伤距住院时间、糖尿病、术中失血量与下肢深静脉血栓的发生具有相关性,其中年龄、术中失血量为股骨粗隆骨折患者发生下肢深静脉血栓的独立危险因素。结论股骨粗隆骨折患者下肢深静脉血栓发生率较高,相关危险因素诸多,独立危险因素包括年龄>40岁、术中失血量>200 ml,临床上应对有以上危险因素的患者给予重视,结合生化及影像学检查有效的防控静脉血栓的发生。Objective To investigate the epidemiological current situation and risk factors of deep venous thrombosis(DVT)in patients with femoral intertrochanteric fracture.Methods The clinical data of patients with femoral intertrochanteric fracture who were admitted and treated in our hospital from January 1,2019 to December 31,2019 were retrospectively analyzed according to questionnaire,which mainly included the general information,complications,operation related information,lower extremity deep vein thrombosis.Moreover the epidemiological current situation and risk factors of deep venous thrombosis were statistically analyzed.Results A total of 1004 patients with femoral intertrochanteric fracture were enrolled in the study,of whom,there were 436 cases of lower extremity venous thrombosis,568 cases without thrombosis,with the incidence rate of venous thrombosis being 43.4%.Before surgery there were 316 cases of DVT,accounting for 72.5%.After surgery there were 120 cases of DVT,accounting for 27.5%.And patient’s gender and age,length from injury to hospital,diabetes mellitus and intraoperative blood loss were correlated with DVT,in which,patient’s age and intraoperative blood loss were independent risk factors of incidence of DVT in patients with femoral intertrochanteric fracture.Conclusion The incidence rate of DVT in patients with femoral intertrochanteric fracture is higher,with many related risk factors,and the independent risk factors include patient’s age>40 years,intraoperative blood loss>200ml.Therefor it is necessary to pay much attention to the risk factors to prevent the incidence of DVT.

关 键 词：股骨粗隆骨折 深静脉血栓形成 流行病学特征 危险因素 

分 类 号：R195[医药卫生—卫生统计学]