中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2015年
13期
1969-1973
,共5页
张晟%解笑宸%姚粤峰%韦良臣
張晟%解笑宸%姚粵峰%韋良臣
장성%해소신%요월봉%위량신
植入物%人工假体%全髋关节置换%下肢深静脉血栓形成%危险因素%假体类型%骨水泥
植入物%人工假體%全髖關節置換%下肢深靜脈血栓形成%危險因素%假體類型%骨水泥
식입물%인공가체%전관관절치환%하지심정맥혈전형성%위험인소%가체류형%골수니
Arthroplasty,Replacement,Hip%Venous Thrombosis%Hip Prosthesis
背景：下肢深静脉血栓形成是人工全髋关节置换常见的也是危险性较大的并发症，如果不能提前预防，会造成严重后果，故在临床中需要对下肢深静脉血栓形成的危险因素进行评估。目的：评估人工全髋关节置换后下肢深静脉血栓形成的临床危险因素。方法：对2010年1月至2013年2月在北京大学深圳医院骨关节科行人工全髋关节置换的162例患者资料进行回顾性分析，所有患者均在置换前、置换后第3天和第7天进行双下肢深静脉彩超检查。采用Logistic回归分析统计法分析全髋关节置换患者下肢深静脉血栓发生的危险因素。结果与结论：入选Logistic回归模型的因素为骨水泥假体、年龄分布、体质量指数、全身麻醉，它们的OR值分别是9.215，11.247，3.842，4.825，是下肢深静脉血栓发生的危险因素。提示骨水泥假体的使用、高龄、体质量指数大于25 kg/m2及全身麻醉均是全髋关节置换后发生下肢深静脉血栓形成的危险因素，应引起临床重视，积极采取对应措施。
揹景：下肢深靜脈血栓形成是人工全髖關節置換常見的也是危險性較大的併髮癥，如果不能提前預防，會造成嚴重後果，故在臨床中需要對下肢深靜脈血栓形成的危險因素進行評估。目的：評估人工全髖關節置換後下肢深靜脈血栓形成的臨床危險因素。方法：對2010年1月至2013年2月在北京大學深圳醫院骨關節科行人工全髖關節置換的162例患者資料進行迴顧性分析，所有患者均在置換前、置換後第3天和第7天進行雙下肢深靜脈綵超檢查。採用Logistic迴歸分析統計法分析全髖關節置換患者下肢深靜脈血栓髮生的危險因素。結果與結論：入選Logistic迴歸模型的因素為骨水泥假體、年齡分佈、體質量指數、全身痳醉，它們的OR值分彆是9.215，11.247，3.842，4.825，是下肢深靜脈血栓髮生的危險因素。提示骨水泥假體的使用、高齡、體質量指數大于25 kg/m2及全身痳醉均是全髖關節置換後髮生下肢深靜脈血栓形成的危險因素，應引起臨床重視，積極採取對應措施。
배경：하지심정맥혈전형성시인공전관관절치환상견적야시위험성교대적병발증，여과불능제전예방，회조성엄중후과，고재림상중수요대하지심정맥혈전형성적위험인소진행평고。목적：평고인공전관관절치환후하지심정맥혈전형성적림상위험인소。방법：대2010년1월지2013년2월재북경대학심수의원골관절과행인공전관관절치환적162례환자자료진행회고성분석，소유환자균재치환전、치환후제3천화제7천진행쌍하지심정맥채초검사。채용Logistic회귀분석통계법분석전관관절치환환자하지심정맥혈전발생적위험인소。결과여결론：입선Logistic회귀모형적인소위골수니가체、년령분포、체질량지수、전신마취，타문적OR치분별시9.215，11.247，3.842，4.825，시하지심정맥혈전발생적위험인소。제시골수니가체적사용、고령、체질량지수대우25 kg/m2급전신마취균시전관관절치환후발생하지심정맥혈전형성적위험인소，응인기림상중시，적겁채취대응조시。
BACKGROUND:Deep venous thrombosis is one of the most common and dangerous complication. There wil be serious consequences for failing to prevent deep venous thrombosis in advance, so we need to evaluate the risk factors of deep venous thrombosis. OBJECTIVE:To evaluate the clinical risk factors for lower limb deep vein thrombosis after total hip arthroplasty. METHODS:Data of 162 patients who were treated from January 2010 to February 2013 in Department of Bone and Joint Surgery, Shenzhen Hospital of Peking University for total hip arthroplasty were analyzed retrospectively. Al patients received ultrasonography on deep veins of lower limb preoperatively and postoperatively 3 and 7 days. Risk factors of deep venous thrombosis were analyzed using Logistic regression analysis in patients undergoing total hip arthroplasty. RESULTS AND CONCLUSION:The selected factors for Logistic regression model contained bone cement prosthesis, age distribution, body mass index, and general anesthesia. Their OR values were 9.215, 11.247, 3.842, 4.825, respectively. They were risk factors for the occurrence of deep venous thrombosis. Above results indicated that use of bone cement prosthesis, age, body mass index>25 kg/m2 and general anesthesia are risk factors for deep venous thrombosis after total hip replacement, so they should cause clinical attention and we should take active measures to prevent them.
