髋臼及骨盆骨折患者术前深静脉血栓形成的危险因素

The Risk Factors of Presence of Preoperative Deep Venous Thrombosis in Patients with Acetabular and Pelvic Fracture

目的:探讨髋臼及骨盆骨折患者术前深静脉血栓(DVT)形成的危险因素。方法:选取我院2012年4月至2014年4月收治的194例髋臼及骨盆骨折患者为研究对象,通过影像学检查结果分为深静脉血栓组(A组,n=24)和非深静脉血栓组(B组,n=170)。回顾性分析两组患者临床资料,用Logistic回归分析深静脉血栓形成的危险因素。结果:1A组患者一般临床资料与B组患者对比差异具有统计学意义(P<0.05);2Logistic回归分析中可知,年龄≥45岁、合并系统疾病、卧床时间长、血清D-二聚体水平≥0.5mg/L均为患者术前危险因素(P<0.05);抗凝预防措施能有效预防术前DVT形成,为相关保护因素(P<0.05)。结论:患者年龄、高凝状态、合并创伤、卧床时间长短及血清D-二聚体水平等因素直接影响髋臼与骨盆骨折患者术前DVT形成,对于高危患病人群,应做好筛查工作,术前抗凝预防治疗可降低DVT形成几率。

Objective： To investigate the risk factors of preoperative deep venous thrombosis of patients with acetabular and pelvic fracture .Methods： 194 cases of acetabular and pelvic fracture patients treated in our hospital from April 2012 to April 2014 were selected as the research object , and they were divided into deep vein thrombosis group （ group A, n=24 ） and non DVT group （ group B, n=170 ） by imaging exami-nation.Results：① There’s statistical significance in general data of patients of groups A and patients in group B （P〈0.05）; ② Logistic regression analysis showed and age over 45 years, with system disease, long bed time, serum D-two dimer level ≥ 0.5 mg/L patients were risk factors for preoperative patients with fracture reduction （P〈0.05）.Anticoagulant prophylaxis measures can effectively prevent the formation of preoperative DVT, as protective factors, （P〈0.05）.Conclusion： The age of patients, hypercoagulable state, combined with injury, the duration of bed rest and the serum D -two dimer level and other factors directly affect the ace -tabulum and pelvis fracture patients before DVT formation , for high-risk population screening,should do the screening work, preoperative anticoagulant prophylaxis can reduce the DVTformation .