多发性创伤合并骨折术后患者发生下肢DVT的影响因素  

Influencing factors of lower extremity DVT in postoperative patients with multiple trauma and fractures

作　　者：徐文凤[1] XU Wenfeng(Department of Orthopaedics of Shiqian County People’s Hospital,Tongren 555100 Guizhou,China)

机构地区：[1]石阡县人民医院骨科,贵州铜仁555100

出　　处：《中国民康医学》2025年第9期15-17,21,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:分析多发性创伤合并骨折术后患者发生下肢深静脉血栓(DVT)的影响因素。方法:回顾性分析2022年11月至2024年5月于该院进行手术治疗的80例多发性创伤合并骨折患者的临床资料,根据术后是否发生DVT将其分为发生组与未发生组,统计两组基线资料,采用Logistic回归分析多发性创伤合并骨折术后患者发生下肢DVT的影响因素。结果:80例多发性创伤合并骨折术后患者中,13例发生下肢DVT,占16.25%;两组年龄、术后卧床时间、术后抗凝治疗、术后D-二聚体(D-D)水平、创伤严重度(ISS)评分比较,差异均有统计学意义(P<0.05);两组性别、体质量指数、手术时间、合并高血压、合并糖尿病、合并慢性充血性心脏病、骨折原因、骨折类型、烟酒史、术后使用止血药物比较,差异均无统计学意义(P>0.05);Logistic回归分析结果显示,年龄≥60岁、术后卧床时间≥4 d、ISS评分≥30分、术后D-D水平≥0.5 mg/L、术后未进行抗凝治疗均为多发性创伤合并骨折术后患者发生下肢DVT的危险因素(OR>1,P<0.05)。结论:年龄≥60岁、术后卧床时间≥4 d、ISS评分≥30分、术后D-D水平≥0.5 mg/L、术后未进行抗凝治疗均为多发性创伤合并骨折术后患者发生下肢DVT的危险因素。Objective:To analyze influencing factors of lower extremity deep venous thrombosis(DVT)in postoperative patients with multiple trauma and fractures.Methods:The clinical data of 80 patients with multiple trauma and fractures who underwent surgical treatment in this hospital from November 2022 to May 2024 were retrospectively analyzed.According to whether DVT occurred after the surgery,they were divided into occurrence group and non-occurrence group.The general data of the two groups were statistically analyzed.Logistic regression was used to analyze the influencing factors of lower extremity DVT in the postoperative patients with multiple trauma and fractures.Results:Among the 80 postoperative patients with multiple trauma complicated with fractures,13 cases developed lower limb DVT,accounting for 16.25%.The differences in age,postoperative bed rest time,postoperative anticoagulant therapy,postoperative D-dimer(D-D)level,and trauma severity(ISS)score between the two groups were statistically significant(P<0.05).There were no significant differences between the two groups in gender,body mass index,operation time,combined hypertension,combined diabetes,combined chronic congestive heart disease,fracture cause,fracture type,smoking and alcohol history,and postoperative use of hemostatic drugs(P>0.05).The Logistic regression analysis showed that age≥60 years old,postoperative bed rest time≥4 days,ISS score≥30 points,postoperative D-D level≥0.5 mg/L,and no postoperative anticoagulation therapy were all risk factors for lower limb DVT in the postoperative patients with multiple trauma and fractures(OR>1,P<0.05).Conclusions:Age≥60 years,postoperative bed rest time≥4 days,ISS score≥30 points,postoperative D-D level≥0.5 mg/L,and no postoperative anticoagulation therapy are the risk factors for lower limb DVT in the postoperative patients with multiple trauma and fractures.

关 键 词：多发性创伤 骨折 术后 下肢深静脉血栓 影响因素 

分 类 号：R683[医药卫生—骨科学]