CAJ | 학술논문

目的探讨弥漫性轴索损伤(DAI)患者并发下肢深静脉血栓(LDVT)的危险因素和预防策略.方法对130例DAI患者进行双下肢血管超声检查,根据是否发生LDVT分为LDVT组22例和非LDVT组108例,对患者长期卧床、血浆纤维蛋白原、股静脉穿刺、静脉曲张、高血压、性别、吸烟、饮酒、糖尿病、肥胖、G CS评分等相关因素进行分析.结果 LDVT组与非LDVT组比较,患者长期卧床、高血压、吸烟、糖尿病、高血浆纤维蛋白原、GCS评分、年龄差异均有统计学意义(x2值分别为7.08、5.99、5.17、4.70、3.55、12.72,t =27.80;P均＜0.05)；而性别、饮酒、肥胖、静脉曲张因素比较差异均无统计学意义(P均＞0.05).结论 DAI合并LDVT患者多见于年龄偏大、长期卧床、高血压、吸烟、糖尿病、GCS评分低、血浆纤维蛋白原较高者.
목적 탐토미만성축색손상(DAI)환자병발하지심정맥혈전(LDVT)적위험인소화예방책략.방법 대130례DAI환자진행쌍하지혈관초성검사,근거시부발생LDVT분위LDVT조22례화비LDVT조108례,대환자장기와상、혈장섬유단백원、고정맥천자、정맥곡장、고혈압、성별、흡연、음주、당뇨병、비반、G CS평분등상관인소진행분석.결과 LDVT조여비LDVT조비교,환자장기와상、고혈압、흡연、당뇨병、고혈장섬유단백원、GCS평분、년령차이균유통계학의의(x2치분별위7.08、5.99、5.17、4.70、3.55、12.72,t =27.80;P균＜0.05)；이성별、음주、비반、정맥곡장인소비교차이균무통계학의의(P균＞0.05).결론 DAI합병LDVT환자다견우년령편대、장기와상、고혈압、흡연、당뇨병、GCS평분저、혈장섬유단백원교고자.
Objective To investigate the risk factors and preventive strategies of patients with diffuse axonal injury(DAI) with deep veins thrombosis in lower limbs (LDVT).Methods One hundred and thirty cases of diffuse axonal injury patients with lower limb vascular were divided into LDVT group(22 cases) and non LDVT group(108 cases) based on ultrasound.The information including long-term bed,plasma fibrinogen level,varicose veins,hypertention,sex,age,smoking,alcohol drinking,diabetes,obesity,Glasgow Coma Scale (GCS) were collected.Results There were significant different between LDVT and non-LDVT group in terms of longterm bed time,hypertension,smoking,diabetes,high plasma fibrinogen,age,low GCS score correlated with LDVT (x2 =7.08,5.99,5.17,4.70,3.55,12.72,t =27.80,P ＜ 0.05).Gender,drinking,obesity,varicose vein factors had no correlation with LDVT(P ＞ 0.05).Conclusion Diffuse axonal injury in patients with LDVT is more common in patients with older age,hypertension,low GCS score,the higher the plasma fibrinogen.