综合ICU与NSICU重症患者DVT发生率及影响因素比较  

Comparison of the incidence and risk factors for deep vein thrombosis in general ICU and neurosurgical ICU patients

作　　者：汤云 张卫 李星茹 成浩 姚林 张伟 于涛 TANG Yun;ZHANG Wei;LI Xingru;CHENG Hao;YAO Lin;ZHANG Wei;YU Tao(Department of Neurosurgery Intensive Care Unit,The First Affiliated Hospital of Wannan Medical College,Wuhu 241001,China)

机构地区：[1]皖南医学院第一附属医院、弋矶山医院神经外科ICU,安徽芜湖241001

出　　处：《皖南医学院学报》2023年第6期604-608,共5页Journal of Wannan Medical College

基　　金：安徽省重点研究与开发计划项目(201904a07020034);安徽省卫生健康软科学研究项目(2020WR04009)。

摘　　要：目的:比较综合ICU与神经外科ICU(NSICU)患者深静脉血栓(DVT)发生率及危险因素,为DVT的针对性预防提供参考。方法:回顾性分析2016年1月~2022年1月在弋矶山医院综合ICU及NSICU住院且行下肢静脉血管超声检查的1891例患者DVT发生情况,分析比较DVT的发生率及危险因素。结果:综合ICU患者DVT发生率为11.0%,下肢瘫痪(OR=2.696,95%CI:1.289~5.638)、肿瘤(OR=2.283,95%CI:1.368~3.809)、手术史(OR=1.811,95%CI:1.157~2.836)、升压药(OR=1.694,95%CI:1.150~2.497)是DVT危险因素,抗凝药(OR=0.582,95%CI:0.390~0.868)是DVT保护因素。NSICU患者DVT发生率为25.6%,手术史是其独立危险因素(OR=73.646,95%CI:36.00~150.68)。结论:NSICU患者DVT发生率较综合ICU高,同时DVT的危险因素也存在差异,临床可根据危险因素采取针对性的预防方法。Objective:To compare the incidence and risk factors for deep venous thrombosis(DVT)in patients in the general Intensive Care Unit and Neuroscience Intensive Care Unit(NSICU)for evidence to plan targeted preventive measures for DVT.Methods:Retrospective analysis was performed in 1891 patients with DVT treated in the general ICU and NSICU in our hospital between January 2016 and January 2022.All patients underwent venous sonography at lower extremities.The incidence and risk factors for DVT were analyzed and compared between the patients in ICU and NSICU.Results:The incidence was 11.0%for patients in ICU.Paraplegia(OR=2.696;95%CI:1.289-5.638),tumor(OR=2.283;95%CI:1.368-3.809),surgical history(OR=1.811;95%CI:1.157-2.836)and use of vasopressor agent(OR=1.694;95%CI:1.150-2.497)were risk factors,whereas anticoagulant agent(OR=0.582;95%CI:0.390-0.868)was a protective factor for incidence of DVT.The incidence of DVT was 25.6%in NSICU patients,and the surgical history was an independent risk factor for DVT(OR=73.646;95%CI:36.00-150.68).Conclusion:Patients in NSICU had higher incidence of DVT than those in general ICU,and the risks for incidence of DVT remained different.The findings suggest that targeted preventive measures can be taken according to the risk factors in clinic.

关 键 词：静脉血栓 重症监护室 神经外科 

分 类 号：R473.6[医药卫生—护理学]