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髋部骨折术前双下肢深静脉血栓发生的危险因素分析

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目的 髋部骨折术前双下肢深静脉血栓发生的危险因素分析.方法 分析2016年1月—2018年1月期间该院收治的80例髋部骨折患者的临床资料进行分析, 将患者分为术前发生下肢DVT组与无DVT组, 各40例, 通过分析患者术前静脉造影结果, 得出术前下肢深静脉血栓 (DVT) 发生率, 进行单因素、多因素分析, 最终确定髋部骨折术前双下肢深静脉血栓发生的危险因素.结果 通过单因素分析得出:无DVT组造影距受伤时间显著低于DVT组, 差异有统计学意义 (P<0.05);通过Logistic回归分析进行相应调整后, 得出股骨粗隆部骨折、造影检查距受伤时间为发生下肢静脉血栓的因素.结论 髋部患者术前下肢DVT具有较高的发生率, 因此, 股骨粗隆部骨折及受伤后等待时间较长者需关注是否存在术前下肢DVT.
Analysis of Risk Factors for Deep Venous Thrombosis of Lower Extremity before Hip Fracture
Objective To analyze the risk factors of deep venous thrombosis in the lower extremities before hip fracture.Methods The clinical data of 80 patients with hip fracture admitted to our hospital from January 2016 to January 2018 were analyzed. The patients were divided into the lower extremity DVT group and the non-DVT group, 40 cases each.The preoperative venography results were used to obtain the preoperative rate of deep venous thrombosis (DVT). Singlefactor and multi-factor analysis were performed to determine the risk factors of deep venous thrombosis in the lower extremities before hip fracture. Results By single factor analysis, the time of injury from the DVT group was significantly lower than that in the DVT group. The difference was statistically significant (P < 0.05); After the corresponding adjustment by Logistic regression analysis, the femoral trochanteric fracture and the time of injury from the angiography were the factors of venous thrombosis of the lower extremity. Conclusion The preoperative lower extremity DVT has a higher incidence in hip patients. Therefore, patients with femoral trochanteric fractures and longer waiting time after injury should pay attention to the presence of preoperative lower extremity DVT.

Hip fractureLower extremityDeep vein thrombosisRisk factors

王洪彦

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山东省曹县古营集镇卫生院,山东菏泽 274400

髋部骨折 双下肢 深静脉血栓 危险因素

2019

双足与保健
中国足部反射区健康法研究会

双足与保健

影响因子:0.014
ISSN:1004-6569
年,卷(期):2019.(5)
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