摘要
目的:分析直肠癌围手术期并发下肢深静脉血栓(DVT)的相关因素。方法:回顾性分析2013年10月到2016年10月393例在我院接受直肠癌手术治疗患者。收集其临床资料包括年龄、性别、住院时间、手术时间、手术方式、职业类别、高血压、冠心病、糖尿病、BMI、吸烟、饮酒、术后锻炼、术后弹力袜或间歇充气加压泵(IPC)治疗情况,并进行量化分析评估。结果:59例患者纳入DVT组,334例纳入非DVT组。2组间比较发现年龄(>60岁)、高血压、职业类别、手术时间(>4h)、吸烟、术后锻炼、术后弹力袜或IPC治疗对下肢深静脉血栓形成差异有统计学意义(P<0.05)。Logistic回归分析发现年龄(>60岁)、吸烟、高血压、手术时间(>4h)是DVT的独立危险因素(P<0.05);体力劳动、术后锻炼、术后弹力袜或IPC治疗是DVT的保护因素(P<0.05)。结论:高龄、高血压、手术时间长的直肠癌患者围手术期应该高度警惕DVT的发生,术后应选择锻炼作为常规的预防措施。
Objective： To analyze the related factors of deep venous thrombosis in lower extremity in perioperative period of rectal cancer. Methods： Three hundred and ninety-three patients treated by rectal-cancer surgery in our hospital from October 2013 to October 2016 were reviewed retrospectively. The clinical data including age, gender, hospital stay, operation time, operation method, occupation, hypertension, coronary heart disease, diabetes, BMI, smoking status, drinking status, postoperative exercises and treatment by postoperative elastic stockings or intermittent pneumatic calf compression were collected and quantitative analysis was made. Results： In this study, 59 patients were included in the DVT group and 334 patients in the Non-DVT group. There was signifcant difference between the two groups （P〈0.05） in age （〉60 years old）, hypertension, occupation type, operation time, smoking status, postoperative exercises, the treatment by postoperative elastic stockings or intermittent pneumatic calf compression. The multivariate analysis showed that age, smoking, hypertension and operation time were independent risk factors （P〈0.05）. Physical labour, treatment by postoperativeexercises or postoperative elastic stockings and intermittent pneumatic calf compression were protective factors for DVT （P〈0.05）. Conclusion： Rectal cancer patients with older age （〉60 years old）, hypertension and longer operation time should pay much attention to the prevention of DVT in perioperative period, and postoperative exercises can be a precautionary measures.
出处
《温州医科大学学报》
CAS
2018年第2期128-130,134,共4页
Journal of Wenzhou Medical University
关键词
围手术期
直肠肿瘤
深静脉血栓形成
因素
during perioperative period
rectal tumor
deep venous thrombosis
factors
