中国康复理论与实践2016，Vol.22Issue(8)：936-941,6.DOI:10.3969/j.issn.1006-9771.2016.08.012
115例脊髓损伤患者血栓预防情况分析
Retrospective Analysis of Thromboembolism Prophylaxis in 115 Patients with Spinal Cord Injury
摘要
Abstract
Objective To retrospectively analyze the lower extremity deep vein thrombosis prevention in patients with spinal cord injury (SCI). Methods A total of 115 SCI patients in our department from April to May, 2015 were included. The clinical symptoms, lower limb deep vein ultrasonic testing, laboratory examination were collected to analyze the occurrence, prevention measures, the thrombus location and management of deep venous thrombosis (DVT) in lower limbs. Results Forty-three patients had thromboprophylaxis in other hospitals before admission, and 105 patients in our department after admission, in which, nine cases were with clinical symptoms in other hospitals and three cases in our department. No pulmonary embolism occurred in them. There was no significant difference in most laboratory index-es between patients with DVT and without DVT in lower limbs (P>0.05). Five patients were with DVT in lower limbs in 43 patients who had thromboprophylaxis, and four cases in 72 patients who did not have thromboprophylaxis. No relationship was found between thrombo-prophylaxis and DVT in lower limbs (χ2=0.663, P=0.415). Five patients were with DVT in lower limbs in 53 patients with complete SCI, and four cases in 59 patients with incomplete SCI. No relationship was found between the severity of SCI and DVT in lower limbs in other hospitals (χ2=0.028, P=0.867). Conclusion DVT in lower limbs could be also occurred in patients who accepted thromboprophylaxis. Labo-ratory indexes are inadequate for the prediction and diagnosis specificity of DVT in lower limbs.关键词
脊髓损伤/血栓性疾病/深静脉血栓/血栓预防/回顾分析Key words
spinal cord injury/thrombotic diseases/deep venous thrombosis/thromboprophylaxis/retrospective analysis分类
医药卫生引用本文复制引用
卫波,袁媛,周红俊,刘根林,王一吉,郑樱,张缨,郝春霞,康海琼,逯晓蕾..115例脊髓损伤患者血栓预防情况分析[J].中国康复理论与实践,2016,22(8):936-941,6.基金项目
中国康复研究中心自主创新课题专项基金项目(No.2013-1)。 （No.2013-1）
