人工关节置换术后下肢深静脉血栓形成相关因素分析  

Relevant Factors of Formation of Lower Extremity Deep Vein Thrombosis After Artificial Joint Replacement

作　　者：常乐[1] 宋琳娜[1] 冯世波[1] ZHANG Le;SONG Linna;FENG Shibo(Hankou Hospital,Wuhan,Hubei,China 430012)

机构地区：[1]湖北省武汉市汉口医院,湖北武汉430012

出　　处：《中国药业》2022年第S01期120-122,共3页China Pharmaceuticals

基　　金：湖北省武汉市卫生计生委科研计划资助项目[WXZ1Z72]。

摘　　要：目的分析人工关节置换术后下肢深静脉血栓形成的危险因素。方法选取医院2021年1月至10月收治的关节置换术患者80例,按是否发生下肢深静脉血栓分为观察组(12例)与对照组(68例)。采用单因素与多因素分析,观察组患者术后下肢深静脉血栓形成的高危因素。结果患者年龄大、吸烟时间长、术前下肢静脉有病变、有糖尿病史等均是下肢深静脉血栓形成的单因素危险因素。年龄、术前下肢病变、术中失血量>500 mL、血液高凝、高血压史等是术后下肢深静脉血栓形成的多危险因素。结论年龄大、不健康的生活习惯、基础疾病史等均是人工关节置换术后下肢深静脉血栓形成的主要因素。针对诸多高危因素,应采取基本预防、物理及药物联合护理方式进行预防,以保障患者的身体健康。Objective To analyze the risk factors about formation of lower extremity deep vein thrombosis(DVT)after artificial joint replacement.Methods A total of 80 patients with joint replacement treated in the hospital from January to October 2021 were selected and divided into the observation group(12 cases)and the control group(68 cases)according to whether deep venous thrombosis of lower limbs occurred.Single factor and multiple factors analysis were used to analyze the high risk factor of formation of lower extremity DVT after artificial joint replacement in the observation group.Results The single risk factor of lower extremity DVT was the older age,long time for smoking,lower extremity vein disease before surgery,diabetes history and others.The multiple risk factors of lower extremity DVT after surgery were age,lower limbs disease,the amount of blood loss>500 mL,blood of highly agglutinated,hypertension history.Conclusion Older age,unhealthy living habits,basic disease history were 等 the main factors of the formation of lower extremity DVT after artificial joint replacement.For the health of patients,Basic prevention and the prevention by physical nursing combined with drug nursing should be used for the high-risk factors。

关 键 词：人工关节置换术 下肢深静脉血栓 危险因素 预防措施 

分 类 号：R684[医药卫生—骨科学]