CAJ | 학술논문

目的分析全髋关节置换术后发生深静脉栓塞（DV T ）的危险因素，针对性制定干预对策。方法回顾性分析本院于2007年10月至2012年10月收治的全髋关节置换术患者302例，分为血栓组（40例）和非血栓组（262例）。统计两组患者的临床资料，量化和赋值相关危险因素，通过统计学软件进行单因素和多因素分析。结果单因素分析显示，年龄、女性、三酰甘油（TG）大于或等于1．7mmol/L、使用骨水泥以及手术时间过长为发生DVT的独立危险因素（P＜0．05）；而多因素分析则说明，使用骨水泥危险性最大（OR＝9．247），其他因素依次为年龄（OR＝6．781）、性别（OR＝6．374）、TG（OR＝5．647）、手术时间（OR＝4．247）。结论全髋关节置换术后发生DVT 与多种因素关系密切，临床上应针对性的开始围术期干预，确保患者的手术疗效。
목적분석전관관절치환술후발생심정맥전새（DV T ）적위험인소，침대성제정간예대책。방법회고성분석본원우2007년10월지2012년10월수치적전관관절치환술환자302례，분위혈전조（40례）화비혈전조（262례）。통계량조환자적림상자료，양화화부치상관위험인소，통과통계학연건진행단인소화다인소분석。결과단인소분석현시，년령、녀성、삼선감유（TG）대우혹등우1．7mmol/L、사용골수니이급수술시간과장위발생DVT적독립위험인소（P＜0．05）；이다인소분석칙설명，사용골수니위험성최대（OR＝9．247），기타인소의차위년령（OR＝6．781）、성별（OR＝6．374）、TG（OR＝5．647）、수술시간（OR＝4．247）。결론전관관절치환술후발생DVT 여다충인소관계밀절，림상상응침대성적개시위술기간예，학보환자적수술료효。
Objective To analyze the a risk factors and intervention strategy of deep venous thrombosis (DVT) after replacement of total hip (RTH) .Methods 302 cases of patients treated by RTH in this hospital during Oct .2007 and Oct .2012 were divided into DVT group (40 cases) and non-DVT group (262 cases) .Risk factors were identified and analyzed by single factor and multiple factors analysis of clinical data .Results Single factor analysis in-dicated that age ,women ,triglyceride (TG) level higher or equal with 1 .7 mmol/L ,usage of bone cement and opera-tion for a long time were independent risk factors of DVT (P<0 .05) .Multiple factors analysis indicated the risk factors ,ranged by odds ratio (OR) ,were usage of bone cement (OR=9 .247) ,age (OR=6 .781) ,gender (OR=6 .374) ,TG level (OR=5 .647) and operation time (OR=4 .247) .Conclusion DVT after RTH might be closely correlated with many factors ,and perioperative intervention should be strengthened to ensure the therapeutic effect of RT H .