中国组织工程研究Issue(9)：1331-1336,6.DOI:10.3969/j.issn.2095-4344.2014.09.004
高龄老人髋关节置换的高危因素：128例特征
High risk factors in 128 elderly patients undergoing hip replacement
张克云 1余黎明 1张绪华 1林昕 1张仁明 1刘俊 1陈超 2王建超2
作者信息
- 1. 湖南怀化医专附属医院暨怀化市第三人民医院骨科，湖南省怀化市 418000
- 2. 华中科技大学同济医学院同济医院骨科，湖北省武汉市 430032
- 折叠
摘要
Abstract
BACKGROUND:Deep vein thrombosis after hip replacement has a high incidence rate. Moreover, deep vein thrombosis can induce pulmonary embolism that can endanger patients’ life and dysfunction of distant deep vein. The appearance of deep vein thrombosis is a great obstacle for the gradual y increased hip replacement. <br> OBJECTIVE:To observe the occurrence of deep vein thrombosis of lower limb after total hip replacement in elderly patients, and to screen the risk factors for the occurrence of deep vein thrombosis of lower limbs. <br> METHODS:Clinical data of 128 elderly patients with hip replacement were analyzed retrospectively. Al patients were examined with color Doppler ultrasound in double lower limbs at 1 day before replacement and 7 days after replacement. Multifactor unconditional logistic analysis was conducted on clinical related factors and the formation of lower limb deep vein thrombosis. <br> RESULTS AND CONCLUSION:At 7 days after the operation, 16 patients affected deep vein thrombosis of lower limb. The factors for deep vein thrombosis contained female, general anesthesia, bilateral hip replacement and the application of bone cement (P<0.05). The risk for deep vein thrombosis after total hip replacement significantly increased in elderly patients aged over 70 years. Multifactor unconditional logistic analysis exhibited that the multiple risks of sex, obesity and the use of bone cement in elderly patients with deep vein thrombosis increased to 11.398, 3.109 and 8.925. The patients with a blood type O at the age of over 70 years experienced a decreased risk for deep vein thrombosis after total hip replacement. The occurrence of deep vein thrombosis decreased to 0.186 times after replacement. Blood type O could be considered as a protective factor for the occurrence of deep vein thrombosis.关键词
植入物/人工假体/髋关节置换/深静脉血栓/危险因素/发生率/老年人Key words
arthroplasty, replacement, hip/venous thrombosis/aged/risk factors分类
医药卫生引用本文复制引用
张克云,余黎明,张绪华,林昕,张仁明,刘俊,陈超,王建超..高龄老人髋关节置换的高危因素：128例特征[J].中国组织工程研究,2014,(9):1331-1336,6.
