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倾向性评分匹配法分析二次创伤骨折术后DVT的风险因素

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目的:基于倾向性评分匹配法(PSM)分析二次创伤骨折术后深静脉栓塞(DVT)的风险因素。方法:回顾性收集 2020年 7月至2024年 6月西安大兴医院手术室共 488例二次创伤骨折患者的临床资料,采用PSM对术后DVT患者 1:1最邻近匹配。结果:488例二次创伤骨折中,112例(22。95%)发生DVT。PSM后纳入 200例(匹配率 40。98%),两组基线无差异。DVT 组糖尿病、血栓家族史比例高,卧床时间长,D-D、FIB 水平高(P<0。01)。独立危险因素为卧床时间长、D-D及FIB高(P<0。05)。结论:二次创伤骨折术后,长期卧床、高D-D及FIB水平为DVT独立危险因素。
Risk factors for DVT after secondary trauma fracture analysed by propensity score matching methods
Objective:To analyse the risk factors of postoperative deep vein thrombosis(DVT)after secondary trauma fracture based on propensity score matching(PSM).Methods:Clinical data of a total of 488 patients with secondary trauma fractures in the operating room of Xi'an Daxing Hospital were retrospectively collected from July 2020 to June 2024,and the PSM was applied to match the data of the patients with postoperative DVT after secondary trauma fracture with the 1:1 nearest neighbour.Results:Among 488 cases of secondary traumatic fractures,112 cases(22.95%)developed DVT.After PSM,200 cases were included(matching rate of 40.98%),with no baseline differences between the two groups.The DVT group had a higher proportion of diabetes and family history of thrombosis,longer bed rest time,and higher levels of D-D and FIB(P<0.01).The independent risk factors were longer bed rest time,and higher levels of D-D and FIB(P<0.05).Conclusion:Longer postoperative bed rest and higher levels of D-D as well as FIB in patients with secondary trauma fractures are independent risk factors for the development of DVT after secondary trauma fractures.

Propensity score matchingSecondary trauma fractureDeep vein embolismRisk factors

马伟、龙卓毓

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西安大兴医院,手麻科,陕西 西安 710000

西安市第三医院,骨二科,陕西 西安 710021

倾向性评分匹配 二次创伤骨折 深静脉栓塞 风险因素

2024

现代科学仪器
中国分析测试协会

现代科学仪器

CSTPCD
影响因子:0.329
ISSN:1003-8892
年,卷(期):2024.41(6)