摘要
目的探讨髋关节置换术后下肢DVT的危险因素及预防措施。方法收集2014年6月至2016年6月在本科住院并接受髋关节置换患者78例，根据术后是否发生下肢DVT分为血栓组和无血栓组，选择性别、年龄、冠心病、高血压、体重指数、肥胖、手术时间、卧床时间〉7d等可能影响下肢DVT的因素对两组患者进行比较，通过单因素和多因素Ligistic回归分析，得出髋关节置换术后下肢DVT的危险因素。结果单因素分析两组患者在年龄〉60岁、高血压、手术时间、卧床时间〉7d方面差异有统计学意义（P〈0．05）；多因素Logistic回归分析，年龄年龄〉60岁、高血压、卧床时间〉7d为髋关节置换术后下肢DVT形成的重要危险因素，应重点关注。结论年龄〉60岁、高血压、卧床时间〉7d为髋关节置换术后下肢DVT形成的重要危险因素，尽早采取预防措施，对于预防下肢DVT的发生，具有重要意义。
Objective To investigate the risk factors and preventive measures of deep venous thrombosis （DVT） in lower limbs after hip arthroplasty. Methods 78 patients undertaking hip replacement at our hospital from June, 2014 to June, 2016 were collected and were divided into a thrombosis group and a no thrombosis group according to the presence of postoperative lower extremity DVT. The gender, age, coronary heart disease, hypertension, obesity, body mass index, operation time, time in bed over 7 days, etc. affect DVT in lower limbs were compared between these two groups. Single and multiple factors logistic regression analysis were used to analyze the risk factors of lower extremity DVT after hip replacement. Results Univariate analysis showed that there statistical differences in over 60 years old, hypertension, operation time, time in bed over 7 days, etc. between these two groups （all P 〈 0.05）. Multivariate logistic regression analysis showed that over 60 years old, hypertension, and time in bed over 7 days were important risk factors for DVT in lower limbs after hip replacement. Conclusions Over 60 years old, hypertension, and time in bed over 7 days are important risk factors for DVT in lower limbs after hip replacement. Preventive measures should be taken early to prevent the occurrence of DVT.
出处
《国际医药卫生导报》
2017年第19期3039-3042,共4页
International Medicine and Health Guidance News
关键词
髋关节置换
深静脉血栓形成
危险因素
对策
Hip replacement
Deep venous thrombosis
Risk factors
Countermeasures
