中华老年心脑血管病杂志
中華老年心腦血管病雜誌
중화노년심뇌혈관병잡지
CHINESE JOURNAL OF GERIATRIC CARDIOVASCULAR AND CEREBROVASCULAR DISEASES
2014年
6期
602-604
,共3页
心血管疾病%下肢%骨折%静脉血栓形成%冠心病%高血压
心血管疾病%下肢%骨摺%靜脈血栓形成%冠心病%高血壓
심혈관질병%하지%골절%정맥혈전형성%관심병%고혈압
cardiovascular diseases%lower extremity%fractures,bone%venous thrombosis%coronary disease%hypertension
目的：研究伴或不伴有心血管病的同类下肢骨折患者下肢深静脉血栓形成（DV T ）的发生及相关情况。方法选取骨折患者584例，根据伴或不伴有冠心病和（或）高血压，将其分为伴有心血管病组235例和无心血管病组349例，心血管病组患者中，仅伴有原发性高血压89例，仅伴有冠心病53例，同时伴有原发性高血压和冠心病93例，比较心血管病组与无心血管病组下肢DVT的发生率、骨折后不同时间段下肢DVT 的发生率，不同年龄段骨折患者DVT的发生情况。结果与无心血管病组比较，心血管病组下肢DVT发生率明显升高（22．55％ vs 12．89％，P＜0．01）。2组骨折后0～7 d下肢DVT的发生率均明显高于骨折后8～14 d及＞14 d（P＜0．01）。2组年龄≥60岁患者DV T发生率明显高于年龄＜60岁患者。结论伴有心血管病且年龄≥60岁的下肢骨折患者更易于发生下肢DVT ，骨折后1周内是其好发时间段，加强对高危人群的重视并尽早采取预防措施有可能降低骨折后下肢DVT的发生。
目的：研究伴或不伴有心血管病的同類下肢骨摺患者下肢深靜脈血栓形成（DV T ）的髮生及相關情況。方法選取骨摺患者584例，根據伴或不伴有冠心病和（或）高血壓，將其分為伴有心血管病組235例和無心血管病組349例，心血管病組患者中，僅伴有原髮性高血壓89例，僅伴有冠心病53例，同時伴有原髮性高血壓和冠心病93例，比較心血管病組與無心血管病組下肢DVT的髮生率、骨摺後不同時間段下肢DVT 的髮生率，不同年齡段骨摺患者DVT的髮生情況。結果與無心血管病組比較，心血管病組下肢DVT髮生率明顯升高（22．55％ vs 12．89％，P＜0．01）。2組骨摺後0～7 d下肢DVT的髮生率均明顯高于骨摺後8～14 d及＞14 d（P＜0．01）。2組年齡≥60歲患者DV T髮生率明顯高于年齡＜60歲患者。結論伴有心血管病且年齡≥60歲的下肢骨摺患者更易于髮生下肢DVT ，骨摺後1週內是其好髮時間段，加彊對高危人群的重視併儘早採取預防措施有可能降低骨摺後下肢DVT的髮生。
목적：연구반혹불반유심혈관병적동류하지골절환자하지심정맥혈전형성（DV T ）적발생급상관정황。방법선취골절환자584례，근거반혹불반유관심병화（혹）고혈압，장기분위반유심혈관병조235례화무심혈관병조349례，심혈관병조환자중，부반유원발성고혈압89례，부반유관심병53례，동시반유원발성고혈압화관심병93례，비교심혈관병조여무심혈관병조하지DVT적발생솔、골절후불동시간단하지DVT 적발생솔，불동년령단골절환자DVT적발생정황。결과여무심혈관병조비교，심혈관병조하지DVT발생솔명현승고（22．55％ vs 12．89％，P＜0．01）。2조골절후0～7 d하지DVT적발생솔균명현고우골절후8～14 d급＞14 d（P＜0．01）。2조년령≥60세환자DV T발생솔명현고우년령＜60세환자。결론반유심혈관병차년령≥60세적하지골절환자경역우발생하지DVT ，골절후1주내시기호발시간단，가강대고위인군적중시병진조채취예방조시유가능강저골절후하지DVT적발생。
Objective To study the deep vein thrombosis (DVT ) in lower extremities of patients with or without cardiovascular disease after fracture .Methods Five hundred and eighty-four frac-ture patients were divided into cardiovascular disease (CVD) group (n=235) and non-cardiovas-cular disease (NCVD) group (n=349) .Patients in CVD group were further divided into subgroup A (with essential hypertension) ,subgroup B (with CHD) ,and subgroup C(accompanying essen-tial hypertension and CHD) .Incidence of DVT in CVD group ,NCVD group ,subgroups A-C at different ages after fracture was compared .Results The incidence of DVT was significantly high-er in CVD group than in NCVD group (P<0 .01) ,in two groups on days 0-7 after fracture than on days 8-14 or >14 after fracture ,and in patients with their age ≥60 years than in those with their age <60 years .Conclusion DVT is easier to occur in CVD patients with their age ≥ 60 years than in those with their age <60 years after fracture .DVT usually occurs within 1 week af-ter fracture .Importance attached to high risk population and measures taken as soon as possible against it can reduce DVT after fracture .
