摘要
目的:探讨骨关节术后发生下肢深静脉血栓(deep venous thrombosis,DVT)的危险因素及护理对策。方法:选取笔者所在医院2019年1月-2020年1月收治的80例骨关节手术患者,根据术后是否发生下肢DVT,将其分为研究组(35例)与对照组(45例)。进行单因素分析及多因素Logistic回归分析骨关节术后发生下肢DVT的危险因素。结果:单因素分析显示,两组年龄、BMI、凝血四项、机械抗凝类型、术中失血量、假体类型、手术类型、置换关节数比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,年龄、凝血四项、机械抗凝类型、假体类型、手术类型是骨关节术后发生下肢DVT的危险因素(P<0.05)。结论:年龄、凝血四项、机械抗凝类型、假体类型、手术类型为骨关节术后发生下肢DVT的危险因素,临床需基于此做好相关护理防治工作。
Objective:To investigate the risk factors of lower limb deep venous thrombosis (DVT) after arthroplasty and nursing countermeasures.Method:A total of 80 patients who underwent arthroplasty admitted in our hospital from January 2019 and January 2020 were selected.According to the occurrence of lower limb DVT after surgery,they were divided into the study group (35 cases) and the control group (45 cases).Univariate analysis and multivariate Logistic regression were performed to analyze the risk factors for lower limb DVT after arthroplasty.Result:Univariate analysis showed that there were statistically significant differences in age,BMI,four coagulation,type of mechanical anticoagulation,intraoperative blood loss,type of prostheses,type of surgery,and number of joints replaced between the two groups (P<0.05).Multivariate Logistic regression analysis showed that age,four coagulation,type of mechanical anticoagulation,type of prostheses and type of surgery were risk factors for lower limb DVT after arthroplasty (P<0.05).Conclusion:Age,four coagulation,mechanical anticoagulation type,prosthesis type and surgery type are risk factors for lower limb DVT after arthroplasty.Clinical nursing and prevention work should be done based on this.
作者
王艾玲
师晶晶
WANG Ailing;SHI Jingjing(Zhongxiang Hospital of Traditional Chinese Medicine,Zhongxiang 431900,China)
出处
《中外医学研究》
2021年第22期93-95,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
骨关节手术
下肢深静脉血栓
危险因素
护理对策
Arthroplasty
Lower deep limb venous thrombosis
Risk factors
Nursing countermeasures
作者简介
通信作者:师晶晶。
