微创及常规治疗对创伤性四肢骨折患者血液流变学状态及DVT发生率的影响对比  

Comparison of the Effects of Minimally Invasive and Conventional Treatments on Hemorheological Status and Incidence of DVT in Patients with Traumatic Limb Fractures

作　　者：易志勇 刘志成 刘绿 Yi Zhiyong(Second Department of Surgery,Xunwu County People's Hospital,Ganzhou City,Jiangxi Province,Xunwu Jiangxi 342200)

机构地区：[1]江西省赣州市寻乌县人民医院外二科,江西寻乌342200

出　　处：《黑龙江医药》2021年第5期1035-1038,共4页Heilongjiang Medicine journal

基　　金：赣州市卫生健康委员会市级科研计划项目(项目编号:2019-2-90)。

摘　　要：目的:分析对比微创及常规治疗对创伤性四肢骨折患者血液流变学状态及DVT发生率的影响。方法:此次研究对象来自我院收治的四肢骨折患者,均在2019年1月—2020年6月入我院,入选患者总数为72例,随机分为研究组与对照组,各36例。对照组采用常规切开复位内固定术,研究组采用微创术式(锁定加压钢板内固定联合微创钢板接骨术)。对比两组患者手术前后的血液流变学指标水平和凝血指标水平变化幅度以及DVT发生率。结果:两组患者在术后的全血黏度(低切、中切、高切)、血浆黏度均升高,研究组患者的上述各项指标变化幅度均小于对照组(P<0.05),两组患者在术后的PT、TT、APTT缩短,且FIB升高,研究组患者的PT、TT、APTT、FIB变化幅度均小于对照组(P<0.05),研究组患者术后DVT发生率比对照组低(P<0.05)。结论:微创术式对创伤性四肢骨折患者的创伤更小,对血液流变学和凝血功能的影响较小,降低了DVT的发生可能性,有利于促进患者术后康复。Objective:To analyze and compare the effects of minimally invasive and conventional treatments on hemorheological status and the incidence of DVT in patients with traumatic limb fractures.Methods:The study subjects were patients with limb fractures admitted to our hospital.They were admitted to our hospital from January 2019 to June 2020.The total number of patients selected was 72.They were randomly divided into study group and control group,with 36 cases in each.The control group used conventional open reduction and internal fixation,and the study group used minimally invasive surgery(locking compression plate internal fixation combined with minimally invasive plate osteosynthesis).The blood rheology index levels and coagulation index levels of the two groups of patients before and after surgery were compared,as well as the incidence of DVT.Results:The whole blood viscosity(low-cut,mid-cut,high-cut)and plasma viscosity of the two groups of patients increased after surgery.The changes in the above-mentioned indicators of the study group were smaller than those of the control group(P<0.05).The postoperative PT,TT,APTT of patients were shortened,and FIB increased.The changes of PT,TT,APTT,and FIB of the study group were smaller than those of the control group(P<0.05).The incidence of postoperative DVT in the study group was higher than that of the control group.Group is low(P<0.05).Conclusion:Minimally invasive surgery has less trauma for patients with traumatic limb fractures,and has less impact on hemorheology and coagulation function.It reduces the possibility of DVT and facilitates postoperative recovery.

关 键 词：微创术式 常规术式 创伤性四肢骨折 血液流变学 DVT 

分 类 号：R683.4[医药卫生—骨科学]