摘要
目的研究分析髋关节术后下肢深静脉血栓发生情况及影响因素。方法选取2018年6月—2021年2月的200例髋关节手术患者为研究对象,将其术后下肢深静脉血栓发生率进行统计,同时比较不同性别、年龄、BMI值、疾病种类、基础疾病情况、D-二聚体水平、卧床时间、术中失血量、骨水泥应用情况及手术关节数者的发生率,采用多因素Logistic回归分析髋关节术后下肢深静脉血栓发生的影响因素。结果200例髋关节手术患者发生下肢深静脉血栓21例,发生率为10.50%,不同性别、疾病种类及手术关节数者的术后下肢深静脉血栓发生率比较,差异无统计学意义(P>0.05),不同年龄、BMI值、基础疾病情况、D-二聚体水平、卧床时间、术中失血量及骨水泥应用情况者的发生率比较,差异具有统计学意义(P<0.05),多因素Logistic回归分析显示,年龄、基础疾病情况、D-二聚体水平、卧床时间、术中失血量及骨水泥应用情况是髋关节术后下肢深静脉血栓发生的影响因素(P<0.05)。结论髋关节术后下肢深静脉血栓发生率仍有待进一步控制,且其发生的影响因素较多,应重视对上述因素的监测与干预。
Objective To study and analyze the occurrence of deep venous thrombosis of lower extremity after hip surgery and its influence factors.Methods 200 patients with hip surgery from June 2018 to February 2021 were chosen as the study object,and the deep venous thrombosis rate of lower extremity after hip surgery was analyzed,and the rates of patients with different gender,ages,BMI value,disease types,basic disease situation,D-dimer level,bedtime,intraoperative blood loss,application of bone cement and number of surgical joints were compared,and the influence factors of occurrence of deep venous thrombosis of lower extremity after hip surgery were analyzed with multivariate Logistic regression analysis.Results 21 cases of 200 patients with hip surgery were with deep venous thrombosis of lower extremity,the rate was 10.50%,the postoperative deep venous thrombosis rates of lower extremity of patients with different gender,disease types and number of surgical joints were compared,there were no statistically significant differences(P>0.05),the rates of patients with different ages,BMI value,basic disease situation,D-dimer level,bedtime,intraoperative blood loss and application of bone cement were compared,there were statistically significant differences(P<0.05),the multivariate Logistic regression analysis showed the ages,basic disease situation,D-dimer level,bedtime,intraoperative blood loss and application of bone cement were the influence factors of occurrence of deep venous thrombosis of lower extremity after hip surgery(P < 0.05). Conclusion The deep venous thrombosis after hip surgery remains to be further controlled, and its influence factor of occurrence are more, so those factors should be paid to more monitoring and intervention.
作者
张静
ZHANG Jing(Department of Rehabilitation,Zhanlan Road Hospital of Xicheng District,Beijing 100044,China)
出处
《中国卫生标准管理》
2021年第18期43-46,共4页
China Health Standard Management
关键词
髋关节手术
术后下肢深静脉血栓
发生率
疾病因素
治疗因素
个人因素
hip surgery
postoperative deep venous thrombosis of lower extremity
occurrence
disease factors
treatment factors
personnel factors
