下肢静脉曲张术后延续性干预的效果及复发影响因素分析  

Analysis of the Effect of Continuous Intervention and Factors Affecting Recurrence after Surgery for Lower Limb Varicose Vein

作　　者：苏丽[1] 张峰[1] 郭淑芸[1] 袁涛[1] 张玲[1] 纪丽平[1] 柳萌[1] 李荣珍 吕海玲 SU Li;ZHANG Feng;GUO Shuyun;YUAN Tao;ZHANG Ling;JI Liping;LIU Meng;LI Rongzhen;LYU Hailing(Department of Vascular Surgery,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第二医院血管外科,石家庄050000

出　　处：《临床误诊误治》2024年第12期41-45,共5页Clinical Misdiagnosis & Mistherapy

基　　金：2020年度河北省医学科学研究课题计划(20200973)。

摘　　要：目的探讨下肢静脉曲张术后延续性干预的效果及复发影响因素。方法选择2020年3月至2022年9月收治的下肢静脉曲张并行手术治疗的患者100例,随机分为观察组和对照组各50例,对照组行常规干预,观察组使用延续性干预,对比2组复发情况、凝血功能及生活质量。根据患者术后12个月是否复发分为复发组42例和未复发组58例,收集2组一般资料,应用多因素Logistic回归分析术后复发的影响因素。结果观察组术后6、9、12个月复发率低于对照组(P<0.05,P<0.01);观察组凝血酶时间、凝血酶原时间及活化部分凝血酶原时间均长于对照组(P<0.05);观察组躯体、心理、角色、社会四个维度评分均高于对照组(P<0.05)。年龄≥60岁、体质量指数、文化程度、静脉曲张年限、凝血功能以及延续性干预均是下肢静脉曲张术后复发的影响因素(P<0.05,P<0.01)。结论年龄、体质量指数、文化程度、静脉曲张年限及凝血功能是下肢静脉曲张术后复发影响因素,术后应用延续性干预能降低复发率,提高患者生活质量。Objective To explore the effect of continuous intervention after surgery for lower limb varicose vein and to analyze the factors affecting recurrence.Methods A total of 100 patients with lower limb varicose veins receiving surgery from March 2020 to September 2022 were randomly divided into the observation group and the control group,with 50 cases in each group.The control group received conventional intervention,and the observation group received continuous intervention.The recurrence,coagulation function and quality of life of the two groups were compared.Patients were divided into recurrence group(n=42)and non-recurrence group(n=58)according to presence of recurrence at 12 months after surgery.General data of the two groups were collected and the factors influencing postoperative recurrence were analyzed by multivariate Logistic re-gression.Results The recurrence rate of observation group at 6,9 and 12 months after surgery was lower than that of control group(P<0.05,P<0.01).The thrombin time,prothrombin time and activated partial prothrombin time in observation group were longer than those in control group(P<0.05).The physical,psychological,role and social dimension scores of the observa-tion group were higher than those of the control group(P<0.05).Age≥60 years,body mass index(BMI),education level,years of varicose veins,coagulation function and continuous intervention were all influential factors for postoperative recurrence of lower limb varicose veins(P<0.05,P<0.01).Conclusion Age,BMI,education level,years of varicose veins and coagulation function are the influential factors for postoperative recurrence of lower limb varicose veins.Continuous intervention can re-duce the recurrence rate and improve the quality of life.

关 键 词：静脉曲张 下肢 复发 凝血酶时间 凝血酶原时间 体质量指数 延续性干预 影响因素分析 

分 类 号：R543.6[医药卫生—心血管疾病]