解放军医药杂志2018，Vol.30Issue(5)：66-69,4.DOI:10.3969/j.issn.2095-140X.2018.05.017
髋关节置换术后下肢深静脉血栓形成的危险因素分析
Analysis of Risk Factors for Lower Extremity Deep Vein Thrombosis in Patients after Hip Replacement
摘要
Abstract
Objective To analyze risk factors for lower extremity deep vein thrombosis (LEDVT) in patients af-ter hip replacement for femur head necrosis. Methods A total of 136 patients with hip replacement for femur head nec-rosis admitted during June 2012 and June 2017 were divided into LEDVT group and non LEDVT group according to whether or not having LEDVT within postoperative 2 weeks. Logistic regression analysis was performed one after another for related indexes, and independent risk factors for LEDVT in patients after hip replacement for femur head necrosis were analyzed in two groups. Results Among the 136 patients, 51 patients (37. 50％ ) had lower extremity deep vein throm-bosis within postoperative 2 weeks. In LEDVT group, values of age, body mass index ( BMI), preoperative platelet (PLT), serum triglyeride (TG) and D-dimer (D-D) were significantly higher; preoperative prothrombin time (PT) and intraoperative tourniquet time were significantly longer; proportions of having alcohol drinking patterns, patients combined with basic diseases, patients combined with cardiovascular and cerebrovascular disease history or family history of throm-bosis, patients using bone cement and patients with intraoperative general anesthesia were significantly higher than those in non LEDVT group (P < 0. 05). Age, basic diseases, having cardiovascular and cerebrovascular diseases or family his-tory of thrombosis, preoperative serum TG and D-D, use of bone cement and anaesthetic methods were independent risk factors for LEDVT in patients after hip replacement for femur head necrosis (P < 0. 05). Conclusion Older age, com-bination of basic diseases, preoperative cardiovascular and cerebrovascular diseases or family history of thrombosis, pre-operative high level of blood lipids, intraoperative use of bone cement and general anesthesia may promote postoperative incidence of lower extremity deep vein thrombosis in patients after hip replacement.关键词
股骨头坏死/关节成形术,置换,髋/下肢深静脉血栓/危险因素Key words
Femur head necrosis/Arthroplasty/replacement/hip/Lower extremity deep vein thrombosis/Risk factors分类
医药卫生引用本文复制引用
苏其朱,陈仕雄,孟志斌..髋关节置换术后下肢深静脉血栓形成的危险因素分析[J].解放军医药杂志,2018,30(5):66-69,4.基金项目
海南省自然科学基金项目(20168297) （20168297）
