全髋关节置换术后并发深静脉血栓的危险性分析

Risk Analysis for Deep Vein Thrombosis After Total Hip Arthroplasty

【目的】探讨分析全髋关节置换术后并发深静脉血栓的多项危险因素。【方法】选取2011年6月至2013年6月本院行全髋关节置换术的患者90例，选择8项相关指标，结合患者术后血管彩色超声检查结果，分析性别、年龄、BMI、原发病、合并症、手术时间、术中出血量、是否手术因素与术后深静脉血栓的相关性，原发病包括骨关节炎、股骨头坏死、股骨颈骨折、骨肿瘤，合并症包括糖尿病及高血压。【结果】90例患者中术后出现29例深静脉血栓，发生率为32.22%。发生高血压及糖尿病合并症的回归系数为r=4.184，P=0.041，为发生深静脉血栓的独立危险因素。【结论】高血压、糖尿病合并症为全髋关节置换术后并发深静脉血栓的独立危险因素。

【Objective】To investigate the risk factors of deep vein thrombosis after total hip arthroplasty. 【Methods】Ninety patients with total hip arthroplasty in our hospital from 2011 June to 2013 June were collected. Eight targets （sex, age, BMI, primary disease, complications, operation time, bleeding volume, use of operation） were studied of the relationship between the targets, and deep vein thrombosis were analyzed by multivariate Logistic regression primary disease contained osteoarthritis, necrosis of femoral head, femoral neck fracture, bone tumor, complication contained hypertension and diabetes. 【Results】Twentynine cases with deep vein thrombosis were found in 90 patients, the occurrence rate was 32.22%. The regression coefficient of complication with hypertension and diabetes was r=4.184,P=0.041, the results were statistically significant. Complications with hypertension and diabetes were the independent risk factor of deep vein thrombosis. 【Conclusion】Complications with hypertension and diabetes are the independent risk factor of deep vein thrombosis.