摘要
目的:探讨骨质疏松性股骨粗隆间骨折防旋股骨近端髓内钉(PFNA)固定术后并发深静脉血栓(DVT)的危险因素并建立列线图及预测模型。方法:选取2021年1月至2022年6月行PFNA固定术的100例骨质疏松性股骨粗隆间骨折患者,根据术后是否并发DVT分为DVT组50例和无DVT组50例。采用单因素分析及多因素Logistic回归分析法分析两组年龄、性别、体质量指数、吸烟、高血压、糖尿病、脑梗死、麻醉时间、长期卧床、术中出血量、麻醉方式等资料,找出患者术后并发DVT的危险因素。结果:年龄、高血压、糖尿病、脑梗死、麻醉时间、长期卧床、术中出血量、麻醉方式是影响骨质疏松性股骨粗隆间骨折PFNA固定术后并发DVT的独立危险因素。结论:拟通过本研究,得出年龄、高血压、糖尿病、脑梗死、麻醉时间、长期卧床、术中出血量、麻醉方式是PFNA固定术后并发DVT的危险因素,为降低发生DVT的风险提供理论支持。
Objective:To investigate the risk factors of deep vein thrombosis(DVT)after proximal femoral nail antirotation(PFNA)fixation for osteoporotic intertrochanteric fracture of femur and establish a graph and prediction mode.Methods:A total of 100 patients with osteoporotic intertrochanteric fracture of femur who received PFNA fixation in the hospital from Jan.2021 to June 2022 were selected,and were divided into a DVT group and no DVT group with 50 cases each according to whether there was postoperative DVT.Univariate analysis and multivariate Logistic regression analysis were used to analyze age,gender,BMI,smoking,hypertension,diabetes,cerebral infarction,duration of anesthesia,long-term bed rest,intraoperative blood loss,anesthesia method and other data in each group,and to identify the risk factors of postoperative DVT.Results:Age,hypertension,diabetes,cerebral infarction,anesthesia duration,long-term bed rest,intraoperative blood loss,and anesthesia mode were independent risk factors for DVT after PFNA fixation for osteoporotic intertrochanteric fracture of femur.Conclusion:Through this study,it is intended to conclude that age,hypertension,diabetes,cerebral infarction,duration of anesthesia,long-term bed rest,intraoperative blood loss,and anesthesia method are risk factors for DVT after PFNA fixation,which provides the theoretical support for reducingh te risk of DVT.
作者
胡峤
黄波
卢波
HU Qiao;HUANG Bo;LU Bo(Department of Orthopaedics of Zhangshu Hospital of Traditional Chinese Medicine,Zhangshu,Jiangxi 331200,China)
出处
《上海医药》
CAS
2023年第18期28-32,共5页
Shanghai Medical & Pharmaceutical Journal
关键词
股骨粗隆间骨折
深静脉血栓
风险列线图
模型
intertrochanteric fracture of femur
deep vein thrombosis
risk diagram
mode
