脊柱创伤患者术后并发静脉血栓栓塞的危险因素研究

Study on Venous Thromboembolism Risk Factors In Patients with Spinal Trauma after Operation

目的 探讨脊柱创伤患者术后静脉血栓栓塞(VTE)发生的危险因素研究.方法 选择自2016年1月至2017年12月收治的脊柱创伤患者100例纳入研究,按照术后有无发生VTE为指标,划分为对照组(无VTE,50例)研究组(有VTE,50例).对两组临床资料进行分析比较.结果 两组患者的男性比率无明显差异性(P>0.05);研究组年龄≥60 y比率、BMI> 24 kg/m2比率、合并糖尿病比率、合并高血压比率、全身麻醉比率、手术后卧床时间≥5 d比率、手术时间≥2 h比率以及手术输血史比率均高于对照组(P<0.05).结论 脊柱创伤患者术后VTE发生的危险因素主要包括年龄≥60 y、BMI> 24 kg/m2、合并糖尿病、合并高血压、全身麻醉、手术后卧床时间≥5 d、手术时间≥2 h以及有手术输血史,临床需加强预防,以降低术VTE发生率,从而改善患者的预后.

Objective To investigate the postoperative venous thromboembolism(VTE)risk factors in patients with spinal trauma.Methods One hundred patients with spinal trauma who were admitted from January 2016 to December 2017 were enrolled in the study.According to the presence or absence of VTE.the study group(have VTE,50 cases),the control group(no VTE,50 cases).The clinical data of the two groups were analyzed and compared.Results There was no significant difference in male ratio between the two groups(P>0.05).The study group had age≥60 y ratio,BMI>24 kg/m2 ratio,combined diabetes ratio,combined hypertension ratio,general anesthesia ratio,and postoperative bedtime≥5 d ratio.The ratio of operative time≥2 h and the rate of surgical blood transfusion were higher than the control group(P<0.05).Conclusion Postoperative VTE risk factors in patients with spinal trauma include age≥60 y,BMI>24 kg/m2,diabetes mellitus,hypertension,general anesthesia,bed rest time≥5 d,operation time≥2 h,and surgical blood transfusion History,clinical interventions are needed to reduce the incidence of postoperative VTE and Improve the prognosis of patients.