CAJ | 학술논문

目的：探讨慢性阻塞性肺疾病急性加重期( AECOPD)患者发生静脉血栓栓塞症的危险因素及预防措施。方法比较两组的相关因素及临床指标，探讨AECOPD合并VTE危险因素，并分析预防措施。结果两组在相关因素的比较中，无显著性差异( P>0．05)；卧床一周以上、口服或静脉激素、深静脉置管及D-二聚体比较，有显著性差异(P<0．05)。结论 D-二聚体水平升高、深静脉置管、长期口服、静脉注射激素及卧床是导致AECOPD患者发生静脉血栓栓塞症的主要危险因素，对上述危险因素进行科学预防有助于减少AECOPD合并VTE发生，进而提高AECOPD患者生存率。
목적：탐토만성조새성폐질병급성가중기( AECOPD)환자발생정맥혈전전새증적위험인소급예방조시。방법비교량조적상관인소급림상지표，탐토AECOPD합병VTE위험인소，병분석예방조시。결과량조재상관인소적비교중，무현저성차이( P>0．05)；와상일주이상、구복혹정맥격소、심정맥치관급D-이취체비교，유현저성차이(P<0．05)。결론 D-이취체수평승고、심정맥치관、장기구복、정맥주사격소급와상시도치AECOPD환자발생정맥혈전전새증적주요위험인소，대상술위험인소진행과학예방유조우감소AECOPD합병VTE발생，진이제고AECOPD환자생존솔。
Objective To analyze the occurrence and prevention of venous thromboembolism in AECOPD patients. Methods The related clinical data of AECOPD patients complicated with venous thromboembolism were retrospectively collected to analyze its high-risk factors. Results There was no significant correlation among related factors. There were significant difference in lying in bed longer than 1 week, use of hormone, deep vein catheter and D-dimer (P<0. 05). Conclusion The risk factors of AECOPD patients complicated with venous thromboembolism include lying in bed longer than 1 week, long time use of hormone, deep vein catheter and D-dimer.