摘要
目的研究凝血功能相关参数预测老年骨折患者术后深静脉血栓形成的可行性。方法选择256例老年骨折患者,根据术后是否发生深静脉血栓分为A组(血栓形成,n=38)和B组(未有血栓形成,n=218),对比分析两组术前、术后1d凝血指标资料。结果256例患者中,共有38例术后形成深静脉血栓,术后深静脉血栓形成率为14.84%;A组PTA、FIB、TAT、D-D、PLT均高于B组(P<0.05);多因素回归分析结果显示TAT、D-D异常是发生术后深静脉血栓的高危因素(P<0.05)。结论凝血指标可预测老年骨折患者术后是否发生深静脉血栓,对于凝血指标异常及存在血栓形成高风险患者,术前应合理使用相关抗凝措施,注重术后护理。
Objective To study the feasibility of coagulation function parameters in predicting postoperative deep venous thrombosis in elderly patients with fractures.Methods A total of 256 elderly fracture patients were enrolled.According to whether deep venous thrombosis occurred after operation,they were divided into group A(thrombosis,n=38)and group B(no thrombosis,n=218).The coagulation index data of the two groups before and 1 day after surgery were compared and analyzed.Results Among the 256 patients,38 patients developed deep vein thrombosis after operation.The postoperative deep vein thrombosis rate was 14.84%.PTA,FIB,TAT,D-D and PLT in group A were higher than those in control group(P<0.05).Multivariate regression analysis showed that TAT and D-D abnormalities were risk factors for postoperative deep venous thrombosis(P<0.05).Conclusion Coagulation parameters can predict whether deep vein thrombosis occurs in elderly patients with fractures.For patients with abnormal blood coagulation index and high risk of thrombosis,relevant anticoagulation measures should be used reasonably before surgery,focusing on postoperative care.
作者
吴小莎
张海燕
马玉芹
Wu Xiaosha;Zhang Haiyan;Ma Yuqin(Anyang People's Hospital,Laboratory Medicine,Anyang 455000,China)
出处
《哈尔滨医药》
2020年第4期315-316,共2页
Harbin Medical Journal
关键词
凝血指标
骨折术
深静脉血栓
预测价值
影响因素
Coagulation index
Fracture
Deep vein thrombosis
Predictive value
Influencing factors
