完全性与不完全性颈髓损伤并发血栓栓塞症的对照研究

Comparative Study of Complete and Incomplete Cervical Spinal Cord Injuries Complicated with Venous Thromboembolism

目的探讨完全性与不完全性颈髓损伤并发血栓栓塞症的发生率。方法在2007年1月-2010年12月收治的177例急性颈髓损伤患者,ASIA分级:A级52例为观察组,B-D级125例为对照组,均采用低分子肝素和康复治疗预防血栓栓塞症,比较两组并发血栓栓塞症的情况。结果观察组并发血栓栓塞症11例(21.2%),对照组并发血栓栓塞症6例(4.8%),两组比较具有显著性差异(P<0.05)。结论完全性颈髓损伤发生血栓栓塞症的危险性高于不完全性颈髓损伤。

Objective To study the incidence of venous thromboembolism（VTE） between complete and incomplete spinal cord injured patients.Methods 177 cases of acute cervical spinal cord injury were observed from April 2007 to July 2010.According to ASIA classification,52 cases of grade A involved in observation group,while 125 cases of grades B^D involved in control group.Intervention included low molecular weight heparin and rehabilitation training.Incidence of VTE in two groups was compared.Results There was 11 cases complicated with VTE in the observation group（21.2%） while 6 cases in the control group（4.8%）.There was a difference in incidence of VTE between two groups（P0.05）.Conclusion There is a higher incidence of VTE in complete than incomplete cervical spinal cord injury.