中国康复理论与实践2018，Vol.24Issue(2)：191-195,5.DOI:10.3969/j.issn.1006-9771.2018.02.014
创伤性截瘫患者康复早期下肢深静脉血栓形成特点及影响因素
Features and Related Factors for Deep Venous Thrombosis in Patients with Traumatic Paraple-gia during Early Rehabilitation
刘宏炜 1刘璐 2李军 1冯冰 2杨德刚 1冯雨桐 2杜良杰3
作者信息
- 1. 中国康复研究中心北京博爱医院,脊柱脊髓神经功能重建科,北京市100068
- 2. 首都医科大学 康复医学院,北京市100068
- 3. 中国康复研究中心北京博爱医院, 超声科,北京市100068
- 折叠
摘要
Abstract
Objective To retrospectively analyze the features and related factors of deep venous thrombosis(DVT)in patients with traumatic paraplegia during early rehabilitation. Methods Inpatients of our hospital from June,2014 to June,2017 were included and patients with traumatic paraplegia during early rehabilitation were analyzed.The clinical information,lower limbs deep vein ultrasonic testing and laboratory examination were collected to analyze features and related factors of DVT. Results A total of 269 patients with traumatic paraplegia during early rehabilitation were analyzed and 62 patients had DVT in lower limbs(23.0%),in which 50 patients had an isolated distal DVT and 28 cases occurred in bilateral lower limbs(45.2%).No patients younger than 14 had DVT in lower limbs(n=31).Logistic regression analysis showed that increased D-dimer (OR=1.348, 95% CI 1.193~1.525), advanced age (OR=3.450, 95% CI 1.372~8.674),male(OR=2.872,95% CI 1.095~7.533)and diabetes(OR=5.319,95% CI 1.094~25.872)were indepen-dent related factors for DVT. Conclusion The incidence of DVT in lower limbs of traumatic paraplegia patients during early rehabilitation is high. DVT develops mainly distally to the popliteal vein and bilaterally of lower limbs. Prepubertal children have a low incidence of DVT.Increased D-dimer,advanced age,male and diabetes are independent related factors for DVT.关键词
脊髓损伤/深静脉血栓/影响因素/多普勒超声/康复Key words
spinal cord injury/deep venous thrombosis/related factors/Doppler ultrasound/rehabilitation分类
医药卫生引用本文复制引用
刘宏炜,刘璐,李军,冯冰,杨德刚,冯雨桐,杜良杰..创伤性截瘫患者康复早期下肢深静脉血栓形成特点及影响因素[J].中国康复理论与实践,2018,24(2):191-195,5.
