首页|老年肺癌患者下肢深静脉血栓形成情况及其影响因素分析

老年肺癌患者下肢深静脉血栓形成情况及其影响因素分析

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目的 探讨老年肺癌住院患者下肢深静脉血栓(DVT)形成情况及其影响因素,为临床防治DVT提供参考.方法 回顾性分析78 例老年肺癌患者临床资料,依据DVT发生情况分为DVT组与非DVT组.收集2 组基础资料,先行单因素分析,待获得有统计学差异的数据后再行Logistic回归分析,获得影响老年肺癌住院患者DVT形成的独立危险因素.结果 78 例老年肺癌患者共18 例发生DVT,发生率为23.08%(18/78).单因素分析显示,病理类型、肿瘤分期、糖尿病、手术方式、辅助化疗与老年肺癌住院患者DVT形成相关,差异有统计学意义(P<0.05);多因素分析显示,腺癌、肿瘤Ⅲ期、糖尿病、开胸手术、辅助化疗为老年肺癌住院患者DVT形成的独立危险因素(OR>1,P<0.05).结论 老年肺癌住院患者DVT发生率较高,腺癌、肿瘤Ⅲ期、糖尿病、开胸手术、辅助化疗为老年肺癌住院患者DVT形成的独立危险因素,临床需以此制定针对性干预措施,减少DVT发生,改善患者预后.
Analysis of Situation and Influencing Factors of Lower Limb Deep Vein Thrombosis in Elderly Lung Cancer Patients
Objective To explore the formation and influencing factors of deep vein thrombosis(DVT)in elderly lung cancer inpatients,and to provide reference for clinical prevention and treatment of DVT.Methods A retrospective analysis was conducted on the clinical data of 78 elderly lung cancer patients,who were divided into DVT group and non DVT group based on the occurrence of DVT.Collect 2 sets of basic data,conduct univariate analysis first,and then perform logistic regression analysis after obtaining statistically significant data to obtain independent risk factors affecting the formation of DVT in elderly lung cancer inpatients.Results A total of 18 cases out of 78 elderly lung cancer patients developed DVT,with an incidence rate of 23.08%(18/78).Univariate analysis showed that pathological type,tumor stage,diabetes,operation mode and adjuvant chemotherapy were significantly related to DVT formation in elderly lung cancer patients(P<0.05);Multivariate analysis showed that adenocar-cinoma,tumor stage Ⅲ,diabetes,thoracotomy,and adjuvant chemotherapy were independent risk factors for DVT formation in eld-erly hospitalized patients with lung cancer(OR>1,P<0.05).Conclusion The incidence of DVT in elderly lung cancer inpa-tients is high.Adenocarcinoma,tumor stage Ⅲ,diabetes,thoracotomy,and adjuvant chemotherapy are independent risk factors af-fecting the formation of DVT in elderly lung cancer inpatients.It is necessary to formulate targeted interventions to reduce the inci-dence of DVT and improve the prognosis of patients.

Lung cancerOld age groupLower extremity deep vein thrombosisInfluencing factorsDiabetes

平方芳、付新鸽、李艺博

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472300 河南省义马煤业集团股份有限公司总医院

肺癌 老年群体 下肢深静脉血栓 影响因素 糖尿病

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(4)
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