脑外伤患者入院时合并下肢深静脉血栓的特点与危险因素分析  

Analysis of the characteristics and risk factors of lower extremity deep vein thrombosis in patients with traumatic brain injury upon admission

作　　者：李翠芳 师俊明 杨倩 田欢 肖国文[2] Li Cuifang;Shi Junming;Yang Qian;Tian Huan;Xiao Guowen(Department of Emergency,Beijing Friendship Hospital,Capital Medical University,Beijing 101100,China;Department of Intervention,Beijing Friendship Hospital,Capital Medical University,Beijing 101100,China)

机构地区：[1]首都医科大学附属北京友谊医院急诊科,北京101100 [2]首都医科大学附属北京友谊医院介入科,北京101100

出　　处：《血管与腔内血管外科杂志》2024年第11期1294-1298,共5页Journal of Vascular and Endovascular Surgery

摘　　要：目的 探讨脑外伤患者入院时合并下肢深静脉血栓(DVT)的特点与危险因素。方法 收集2021年6月至2023年8月首都医科大学附属北京友谊医院急诊收治的120例脑外伤患者的临床资料,按照患者入院时是否筛查出下肢DVT分为DVT组(n=39)和对照组(n=81)。分析脑外伤患者入院时合并下肢DVT的临床特点,比较两组患者的临床特征和脑外伤病情,采用多因素Logistic回归模型分析脑外伤患者入院时合并下肢DVT的危险因素。结果 39例入院时发生下肢DVT的脑外伤患者中,14例患者表现出患肢周径大于健侧下肢周径,25例患者表现为无症状性DVT。DVT组患者的年龄大于对照组患者,体重指数、昏迷的比例、合并下肢创伤的比例均高于对照组患者,差异均有统计学意义(P﹤0.05)。多因素分析结果显示,老年(年龄≥65岁)、肥胖(体重指数≥28 kg/m^(2))、昏迷以及合并下肢创伤均是脑外伤患者入院时合并下肢DVT的独立危险因素(P﹤0.05)。结论 老年(年龄≥65岁)、肥胖(体重指数≥28 kg/m^(2))、昏迷以及合并下肢创伤均是脑外伤患者入院时合并下肢DVT的独立危险因素,临床可对存在这些危险因素的下肢DVT高危患者进行针对性筛查。Objective To investigate the characteristics and risk factors of lower extremity deep vein thrombosis(DVT) in patients with traumatic brain injury upon admission.Method The clinical data of 120 patients with traumatic brain injury admitted to the Department of Emergency of Beijing Friendship Hospital,Capital Medical University from June 2021 to August 2023 were collected.The patients were divided into DVT group(n=39) and control group(n=81) based on whether they were screened for lower extremity DVT upon admission.The clinical characteristics of lower extremity DVT in patients with traumatic brain injury upon admission was analyzed,the clinical characteristics and traumatic brain injury conditions between two groups of patients were compared,and the multivariate Logistic regression model was used to analyze the risk factors for lower extremity DVT in patients with traumatic brain injury upon admission.Result Among the 39 patients with lower extremity DVT who experienced traumatic brain injury upon admission,only 14 patients showed that the circumference of the affected extremity were larger than that of the healthy extremity,and 25 patients showed asymptomatic DVT.The age of patients in the DVT group was older than that of the control group,and the body mass index,proportion of patients with coma,and proportion of patients with lower extremity trauma were higher than those of the control group,and the differences were statistically significant(P﹤0.05).The results of multivariate analysis showed that elderly(age≥65 years old),obesity(body mass index≥28 kg/m~2),coma and combined lower extremity trauma were independent risk factors for lower extremity DVT in patients with traumatic brain injury upon admission(P﹤0.05).Conclusion Elderly(age≥65 years old),obesity(body mass index≥28 kg/m~2),coma and combined lower extremity trauma were independent risk factors for lower extremity DVT in patients with traumatic brain injury upon admission.Clinically,targeted screening can be conducted for lower extremity DVT

关 键 词：脑外伤 深静脉血栓 特点 危险因素 

分 类 号：R543[医药卫生—心血管疾病]