CAJ | 학술논문

目的：探讨上肢创伤骨折并发深静脉血栓（DVT）的相关危险因素，为其预防提供参考。方法对2158例上肢创伤患者进行回顾性分析。对DVT发生的相关因素进行单因素及多因素回归分析。结果上肢创伤骨折患者中DVT发生率为0．83％（18/2158）。单因素分析发现年龄大于60岁、高血脂、体质量指数大于25kg/m2、糖尿病、粉碎性骨折、挤压伤、肩胛骨骨折、肱骨外科颈骨折、3处以上骨折9个危险因素与上肢DVT的发生有关。多因素分析发现肩胛骨骨折、3处以上骨折、肱骨外科颈骨折、高血脂4个因素为上肢创伤骨折并发DVT的独立危险因素。结论肩胛骨骨折、3处以上骨折、肱骨外科颈骨折、高血脂是上肢创伤骨折并发DVT的相关因素，正确认识这些危险因素对其防治具有指导意义。
목적：탐토상지창상골절병발심정맥혈전（DVT）적상관위험인소，위기예방제공삼고。방법대2158례상지창상환자진행회고성분석。대DVT발생적상관인소진행단인소급다인소회귀분석。결과상지창상골절환자중DVT발생솔위0．83％（18/2158）。단인소분석발현년령대우60세、고혈지、체질량지수대우25kg/m2、당뇨병、분쇄성골절、제압상、견갑골골절、굉골외과경골절、3처이상골절9개위험인소여상지DVT적발생유관。다인소분석발현견갑골골절、3처이상골절、굉골외과경골절、고혈지4개인소위상지창상골절병발DVT적독립위험인소。결론견갑골골절、3처이상골절、굉골외과경골절、고혈지시상지창상골절병발DVT적상관인소，정학인식저사위험인소대기방치구유지도의의。
Objective To explore the risk factors of upper limb trauma fracture complicated with deep vein thrombosis(DVT ) and provide references for the prevention .Methods A total of 2 158 patients with upper limb trauma fracture were analyzed retrospectively .The risk factors were analyzed by single factor analysis and multifac-tor regression analysis .Results The incidence rate of complicated DVT in patients with upper limb trauma fracture was 0 .83% (18/2 158) .Single factor analysis indicated that more than 60 years old ,hyperlipemia ,body mass index more than 25 kg/m2 ,diabetes ,thrypsis ,crush injury ,shoulder blade fracture ,surgical neck fracture of humerus and more than 3 fractures were related with DVT .Multifactor analysis indicated that shoulder blade fracture ,more than 3 fractures ,surgical neck fracture of humerus and hyperlipemia were independent risk factors .Conclusion Shoulder blade fracture ,more than 3 fractures ,surgical neck fracture of humerus and hyperlipemia could be risk factors for up-per trauma fracture complicated with DVT .