中国中西医结合外科杂志
中國中西醫結閤外科雜誌
중국중서의결합외과잡지
CHINESE JOURNAL OF SURGERY OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE
2014年
6期
593-595
,共3页
骨科手术%下肢深静脉血栓%危险因素%早期干预
骨科手術%下肢深靜脈血栓%危險因素%早期榦預
골과수술%하지심정맥혈전%위험인소%조기간예
Orthopaedic operation%deep venous thrombosis%risk factors%early intervention
目的：调查骨科术后下肢深静脉血栓形成的危险因素。方法：选择骨科择期手术患者4170例，进行下肢深静脉血栓形成的危险因素调查和分析。结果：4170例中，发生深静脉血栓203例(4.87%)，年龄＞60岁、BMI＞25 kg/m2、高血压、高脂血症、D-二聚体≥500μg/L、全身麻醉、手术时间>3 h和术后5 d内没有下床活动等是其发生的危险因素(OR＞1，P＜0.05)。结论：导致骨科术后深静脉血栓发生的危险因素较多，早期干预可以减少并发症的发生率。
目的：調查骨科術後下肢深靜脈血栓形成的危險因素。方法：選擇骨科擇期手術患者4170例，進行下肢深靜脈血栓形成的危險因素調查和分析。結果：4170例中，髮生深靜脈血栓203例(4.87%)，年齡＞60歲、BMI＞25 kg/m2、高血壓、高脂血癥、D-二聚體≥500μg/L、全身痳醉、手術時間>3 h和術後5 d內沒有下床活動等是其髮生的危險因素(OR＞1，P＜0.05)。結論：導緻骨科術後深靜脈血栓髮生的危險因素較多，早期榦預可以減少併髮癥的髮生率。
목적：조사골과술후하지심정맥혈전형성적위험인소。방법：선택골과택기수술환자4170례，진행하지심정맥혈전형성적위험인소조사화분석。결과：4170례중，발생심정맥혈전203례(4.87%)，년령＞60세、BMI＞25 kg/m2、고혈압、고지혈증、D-이취체≥500μg/L、전신마취、수술시간>3 h화술후5 d내몰유하상활동등시기발생적위험인소(OR＞1，P＜0.05)。결론：도치골과술후심정맥혈전발생적위험인소교다，조기간예가이감소병발증적발생솔。
Objective To investigate the risk factors of deep venous thrombosis after orthopaedic surgery. Methods A number of 4170 cases undergoing elective orthopaedic surgery were selected to investigate and ana?lyze the risk factors of deep venous thrombosis Results The occurrence of deep vein thrombosis was 203 (4.87%) in 4170 cases. The risk factors for its occurrence included age>60 years, BMI>25kg/m2, hyperten?sion, hyperlipidemia, D-dimer≥500μg/L, general anesthesia, and surgical time>3 h and 5 d of no activity after surgery(OR>1, P<0.05). Conclusion Many factors can lead to deep venous thrombosis after orthopaedic sur?gery. Early intervention can reduce the incidence of complications.
