[1]尚春风,寇红伟,张书豪,等.中老年人腰椎退变性疾病术后早期下肢深静脉血栓形成的相关因素[J].郑州大学学报(医学版),2019,(03):477-480.[doi:10.13705/j.issn.1671-6825.2018.09.027]
 SHANG Chunfeng,KOU Hongwei,ZHANG Shuhao,et al.Related factors of early postoperative lower extremity deep venous thrombosis in middle-aged and elderly patients with lumbar degenerative diseases[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2019,(03):477-480.[doi:10.13705/j.issn.1671-6825.2018.09.027]
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中老年人腰椎退变性疾病术后早期下肢深静脉血栓形成的相关因素()
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2019年03期
页码:
477-480
栏目:
应用研究
出版日期:
2019-05-20

文章信息/Info

Title:
Related factors of early postoperative lower extremity deep venous thrombosis in middle-aged and elderly patients with lumbar degenerative diseases
作者:
尚春风寇红伟张书豪尚国伟程 田郭俊杰李劲峰包德明孙新志陈向荣王义生刘宏建
郑州大学第一附属医院骨科 郑州 450052
Author(s):
SHANG Chunfeng KOU Hongwei ZHANG Shuhao SHANG Guowei CHENG Tian GUO Junjie LI Jinfeng BAO Deming SUN Xinzhi CHEN XiangrongWANG Yisheng LIU Hongjian
Department of Orthopedics, the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052
关键词:
腰椎退行性疾病 下肢深静脉血栓 中老年人
Keywords:
lumbar degenerative diseases lower extremity deep venous thrombosis the middle-aged and elderly
分类号:
R681.5
DOI:
10.13705/j.issn.1671-6825.2018.09.027
摘要:
目的:探讨中老年人腰椎退变性疾病术后早期并发深静脉血栓形成(DVT)的相关因素。方法:腰椎退变性疾病手术患者200例,术前均经双下肢血管彩色多普勒超声显像检查确认均无血栓形成,术后第4、8、12 天分别行下肢多普勒超声检查。术后有DVT形成39例(DVT组),无DVT形成161例(非DVT组),比较两组患者的性别、年龄、BMI、合并高血压和糖尿病情况以及手术时间、术中出血量、D-二聚体等。Logistic回归分析DVT的危险因素。结果:200例患者中发生DVT者39例,发生率为19.5%。两组患者年龄、手术时间、术中出血量的差异有统计学意义(P<0.05)。Logistic回归分析结果显示D-二聚体(OR=3.343,95%CI=1.308~8.541)、糖尿病(OR=3.928,95%CI=1.090~14.156)和年龄(OR=4.898,95%CI=1.807~13.278)是术后早期并发下肢DVT的危险因素。结论:年龄≥66岁的患者更易发生下肢DVT,D-二聚体和有糖尿病是下肢DVT的相关因素。
Abstract:
Aim:To investigate the related factors of early postoperative deep venous thrombosis(DVT)in middle-aged and elderly patients with lumbar degenerative diseases.Methods:A total of 200 patients who underwent lumbar surgery and were confirmed no thrombosis by preoperative examination accepted lower extremity Doppler ultrasonography on the 4th, 8th and 12th day after surgery. There were 39 patients developed DVT after sugery(DVT group). The gender and age distribution as well as BMI,complications such as hypertension and diabetes,duration of surgery,amount of bleeding during surgery and D-dimer level between DVT group and non-DVT group were compared.Logistic regression was used to analyze the related factors of early DVT.Results:The incidence of DVT was 19.5%(39/200).There were significant differences in age, duration of surgery, and intraoperative blood loss between the 2 groups(P<0.05).Logistic regression analysis showed that D-dimer(OR=3.343,95%CI=1.308-8.541),diabetes(OR=3.928,95%CI=1.090-14.156),and age(OR=4.898,95%CI=1.807-13.278)were risk factors for early postoperative DVT.Conclusion:Patients over the age of 66 years are more likely to develop lower extremity DVT.D-dimer and diabetes are related factors for lower extremity DVT.

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备注/Memo

备注/Memo:
【作者简介】刘宏建,通信作者,男,1968年4月生,主任医师,教授,研究方向:骨外科,E-mail:hongjianmd@126.com
更新日期/Last Update: 2019-05-20