CAJ | 학술논문

目的分析早期脊髓损伤(SCI)患者住院期间并发下肢深静脉血栓形成(DVT)的相关危险因素.方法回顾性分析2012年3月至2014年7月河南省人民医院康复科收治的发病1周内即入院的脊髓损伤患者49例,根据下肢静脉彩超的表现,将其分为伴DVT组(9例)和不伴DVT组(40例).记录2组患者的性别、年龄、是否合并慢性病(糖尿病、高血压、高脂血症等)、是否合并并发症(肺部感染、泌尿系感染、压疮等)、有无肿瘤病史、既往有无吸烟史、是否合并下肢骨折、有无气压治疗、是否早期康复干预、是否预防性抗凝治疗、有无静脉置管史、有无手术、有无输血史、下肢肌力、发病至转入康复科时间等临床因素.先采用单因素分析,再进行Binary logistic回归分析,筛选脊髓损伤并发DVT的危险因素.结果回归分析显示,女性(OR 6.87;95％ CI 1.09 ～43.22)和未进行气压治疗(OR 12.47;95％ CI 1.09～142.36)与早期脊髓损伤患者住院期间并发DVT有关(P＜0.05).结论女性和未进行气压治疗是早期SCI患者住院期间并发DVT的独立危险因素.
목적 분석조기척수손상(SCI)환자주원기간병발하지심정맥혈전형성(DVT)적상관위험인소.방법 회고성분석2012년3월지2014년7월하남성인민의원강복과수치적발병1주내즉입원적척수손상환자49례,근거하지정맥채초적표현,장기분위반DVT조(9례)화불반DVT조(40례).기록2조환자적성별、년령、시부합병만성병(당뇨병、고혈압、고지혈증등)、시부합병병발증(폐부감염、비뇨계감염、압창등)、유무종류병사、기왕유무흡연사、시부합병하지골절、유무기압치료、시부조기강복간예、시부예방성항응치료、유무정맥치관사、유무수술、유무수혈사、하지기력、발병지전입강복과시간등림상인소.선채용단인소분석,재진행Binary logistic회귀분석,사선척수손상병발DVT적위험인소.결과 회귀분석현시,녀성(OR 6.87;95％ CI 1.09 ～43.22)화미진행기압치료(OR 12.47;95％ CI 1.09～142.36)여조기척수손상환자주원기간병발DVT유관(P＜0.05).결론 녀성화미진행기압치료시조기SCI환자주원기간병발DVT적독립위험인소.
Objective To identify the risk factors for deep vein thrombosis(DVT) in the lower extremities during hospitalization for acute spinal cord injury(SCI).Methods Retrospective data analyses were performed for 49 SCI patients admitted within a week after they were diagnosed.The patients were divided into a DVT-free(n =40) group and a DVT group(n =9) according to their lower limbs' color Doppler ultrasound results.And the subjects' gender,age,chronic diseases (diabetes,hypertension and hyperlipidemia,etc.),complications (pulmonary infection,urinary tract infections and pressure sores,etc.),the history of cancer,smoking history and lower extremity fractures were recorded.Intermittent pneumatic compression treatment,the early rehabilitation intervention,antithrombotic therapy,history of venous catheterization,operative intervention,blood transfusion history,muscle strength of lower extremity and time from onset to being transfered to rehabilitation department were also recorded Single factor analysis,was conducted,followed by Binary logistic regression to pick out the risk factors for DVT.Results The result of the binary logistic regression analysis showed that gender (OR 6.87 ; 95％ CI 1.09-43.22 ;P ＜ 0.05) and intermittent pneumatic compression treatment (OR 12.47 ; 95％ CI 1.09-142.36 ; P ＜ 0.05) were significant predictors of DVT.Conclusion Gender and intermittent pneumatic compression treatment are related with DVT risk for patients with acute SCI.