检验医学与临床2024，Vol.21Issue(8)：1107-1110,1117,5.DOI:10.3969/j.issn.1672-9455.2024.08.017
RAPT评分联合血栓弹力图K值及α角对创伤性骨折患者术后发生下肢深静脉血栓的诊断价值
Diagnostic value of RAPT score combined with K value and α angle of thromboelastography in predicting postoperative deep vein thrombosis of the lower extremities in patients with traumatic fracture
摘要
Abstract
Objective To investigate the diagnostic value of risk assessment profile for thromboembolism(RAPT)score combined with K value and α angle of thromboelastography in the occurence of postoperative deep vein thrombosis(DVT)of lower extremities in patients with traumatic fracture.Methods A total of 178 patients with traumatic fractures admitted to the Department of Orthopedics,Yongchuan Hospital Affiliated to Chongqing Medical University from January 2022 to June 2023 were selected as the research objects.Ac-cording to the results of postoperative lower extremity venous color Doppler ultrasound examination,the pa-tients were divided into DVT group(72 cases)and non-DVT group(106 cases).The RAPT score,K value and α angle of thromboelastography were recorded in postoperative patients.Multivariate Logistic regression was used to analyze the risk factors of RAPT score,K value and α angle on postoperative lower extremity DVT in patients with traumatic fracture.The receiver operating characteristic(ROC)curve was drawn to e-valuate the diagnostic value of RAPT score,K value and α angle alone and the 3 indicators in combination for postoperative DVT of the lower extremities in patients with traumatic fracture.Results The RAPT score of the DVT group was higher than that of the non-DVT group,the α angle of the DVT group was larger than that of the non-DVT group,and the K value was lower than that of the non-DVT group,and the differences were statistically significant(P<0.05).The results of multivariate Logistic regression analysis showed that the increase of RAPT and the increase of α angle and the decrease of K value were the risk factors for the oc-currence of postoperative lower extremities DVT in patients with traumatic fracture(P<0.05).ROC curve a-nalysis results showed that the area under the curve of RAPT score,K value,and α angle in the diagnosis of postoperative lower extremity DVT in patients with traumatic fracture were 0.866,0.813,and 0.842 respec-tively,which were lower than the 0.913 of combined diagnosis of the 3 indicators.Conclusion The RAPT score combined with K value and α angle of thromboelastography has a high diagnostic value for postoperative DVT of the lower extremities in patients with traumatic fracture.关键词
血栓形成危险度评分量表评分/血栓弹力图K值/血栓弹力图α角/深静脉血栓形成/危险因素Key words
risk assessment profile for thromboembolism score/K value of thromboelastography/α angle of thromboelastography/deep vein thrombosis/risk factor分类
医药卫生引用本文复制引用
俞豪,费杨厚雪,闵竞,旷瑜,郑华..RAPT评分联合血栓弹力图K值及α角对创伤性骨折患者术后发生下肢深静脉血栓的诊断价值[J].检验医学与临床,2024,21(8):1107-1110,1117,5.基金项目
重庆市永川区2020年第二批公益类科技计划项目(Ycstc,2020nb0246). （Ycstc,2020nb0246）
