摘要
目的:探讨人工关节置换术后深静脉血栓(deep venous thrombosis,DVT)发生率及影响因素,为完善术前准备及手术评估提供依据。方法:对我院2009年7月至2011年5月123例行人工关节置换患者,进行系统回顾分析,将其中98例未发生DVT的患者资料与发生DVT的患者对比,对相关因素予以分析。结果:术后DVT发生率为(20.3%),单因素分析结果显示年龄、性别、体质指数(BMI)、不同手术部位、手术时间、是否使用骨水泥与DVT形成具有相关性,60～70岁肥胖女性,使用骨水泥患者DVT发生率高于对照组,具有统计学意义。结论:人工关节置换术后DVT形成高位因素比较复杂,对于60～70岁肥胖女性应做好术前准备及护理评估,尽量避免DVT的发生。
Objective To investigate the incidences and risk factors of deep venous thrombosis in patients after artificial joint replacement surgery. Methods Clinical data of 123 patients receiving artificial joint replacement surgery from July 2009 to May 2011 were retrospectively analyzed, among these 123 cases, DVT occurred in 98 patients. Results The incidence of DVT was 20.3%, univariate analysis showed that age, gender, body mass index （BMI）, surgical sites, surgical time, the use of bone cement were significantly correlated with DVT. The incidences of DVT in obese women with 60-70 year-old and in patients receiving bone cement were higher than that in controls. Conclusion There were complex risk factors of DVT after artificial joint replacement surgery. For 60-70 year-old obese woman, the preoperative preparation and care should be prepared to avoid the incidence of DVT.
出处
《实用医学杂志》
CAS
北大核心
2012年第18期3047-3048,共2页
The Journal of Practical Medicine
关键词
人工关节置换
深静脉血栓
高危因素
Artificial joint replacement
Deep vein thrombosis
Risk factors
