神经内镜治疗后高血压脑出血患者在住院期间发生下肢深静脉血栓的危险因素分析
Risk Factors for Lower Extremity Thrombosis during Hospitalization in Patients with Hypertensive Intracerebral Hemorrhage after Neuroendoscopic Treatment
侯春晖 1田慧 1魏龙玥1
作者信息
摘要
目的 分析神经内镜治疗后高血压脑出血(hypertensive cerebral hemorrhage,HCH)患者在住院期间发生下肢深静脉血栓(deep venous thrombosis,DVT)的危险因素.方法 共纳入2021年1月—2022年12月于天津市环湖医院接受神经内镜治疗的HCH患者38 例,根据患者治疗后住院期间是否发生DVT将其分为实验组(n=9,住院期间发生DVT)与对照组(n=29,住院期间未发生DVT).结果 实验组患者年龄超过65 岁比例、伴有糖尿病比例、伴有心房颤动比例高于对照组,差异有统计学意义(P＜0.05).两组患者其他基本临床特征、手术相关指标差异并无统计学意义(P＞0.05).结论 对于接受神经内镜治疗的HCH患者来说,其在住院期间发生DVT的危险因素包括年龄超过65 岁、合并糖尿病、心房颤动以及发病至手术时间超过5 h,可以运用这些危险因素识别DVT发生的高危人群,以做好积极预防与严密监测,尽可能避免接受神经内镜治疗的HCH患者在住院期间出现DVT.
Abstract
Objective To analyze the risk factors of deep venous thrombosis(DVT)in patients with hypertensive cerebral hemorrhage(HCH)after neuroendoscopic thrombosis.Methods 38 patients with HCH who received neuroendoscopic treatment in Tianjin Huanhu Hospital were enrolled in the study from January 2021 to December 2022.The patients were divided into two groups according to the occurrence of DVT during hospitalization:the experimental group(n=9,DVT during hospitalization)and the control group(n=29,no DVT during hospitalization).Results The proportion of patients over 65 years old,with diabetes,and with atrial fibrillation in the experimental group was higher than that in the control group,and the difference was statistically significant(P＜0.05).There was no significant difference in other basic clinical features and surgical related indicators between the two groups(P＞0.05).Conclusion For HCH patients undergoing neuroendoscopic therapy,risk factors for DVT during hospitalization include age over 65 years old,diabetes mellitus,atrial fibrillation,and time from onset to surgery longer than 5 hours.These risk factors can be used to identify high-risk groups for DVT,so as to make active prevention and strict monitoring,and try to avoid DVT during hospitalization for HCH patients undergoing neuroendoscopic therapy.
关键词
神经内镜/高血压脑出血/深静脉血栓/危险因素Key words
neuroendoscopy/hypertensive cerebral hemorrhage/deep venous thrombosis/risk factors引用本文复制引用
出版年
2024
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NSTL
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