中国现代医生2025，Vol.63Issue(32)：1-3,16,4.DOI:10.3969/j.issn.1673-9701.2025.32.001
股骨转子间骨折术前下肢深静脉血栓形成的危险因素分析
Risk factors analysis for preoperative deep venous thrombosis in patients with intertrochanteric femoral fractures
摘要
Abstract
Objective To explore the risk factors for preoperative deep venous thrombosis(DVT)in patients with intertrochanteric femoral fractures.Methods A total of 588 patients with intertrochanteric femur fractures treated at the Third Affiliated Hospital of Zunyi Medical University from January 2020 to January 2025 were selected as subjects.Based on preoperative color Doppler ultrasound findings DVT in the lower limbs,patients were divided into DVT group(n=76)and non-DVT group(n=512).Univariate analysis and multivariate Logistic regression were used to identify independent risk factors for preoperative DVT development.Results Compared to non-DVT group,age,time from injury to hospitalization,platelet,white blood cell,neutrophil,platelet-to-lymphocyte ratio,mean platelet-to-lymphocyte ratio,systemic immune inflammatory index,neutrophil-to-lymphocyte ratio,and systemic inflammatory response index(SIRI)were significantly higher in DVT group,while the lymphocyte-to-monocyte ratio and albumin levels were significantly lower in the DVT group(P＜0.05).Multivariate Logistic regression analysis revealed that age,platelet,time from injury to hospitalization,and SIRI were independent risk factors for preoperative DVT in patients with intertrochanteric femoral fractures.Conclusion In clinical practice,clinicians should pay close attention to age,time from injury to hospitalization,platelet,and SIRI factors to better prevent DVT formation.关键词
股骨转子间骨折/深静脉血栓形成/危险因素Key words
Intertrochanteric femoral fractures/Deep venous thrombosis/Risk factors分类
医药卫生引用本文复制引用
刘国松,张森,朱子银,晏长征,谢同亮,邓江..股骨转子间骨折术前下肢深静脉血栓形成的危险因素分析[J].中国现代医生,2025,63(32):1-3,16,4.基金项目
国家自然科学基金项目(81660367) （81660367）
