膝髋关节置换术后患者静脉血栓栓塞症分析

Analysis of Venous Thromboembolism in Patients With Knee and Hip Arthroplasty

目的调查膝髋关节置换术后患者症状性静脉血栓栓塞症(VTE)发生率及分析危险因素。方法抽取2016年1月—2017年12月我院近两年来收治的膝髋关节置换术患者300例,调查记录患者症状性VTE发生率,分析其发生危险因素。结果 300例患者调查发现住院期间症状性VTE发生26例,占8.67%;经Logistic回归分析,年龄≥72岁,住院时间>7 d、有脑梗死病史是其危险因素。结论了解膝髋关节置换术后症状性VTE发生危险因素,应积极预防,早期发现,具有重要的临床意义。

Objective To investigate the incidence of symptomatic venous thromboembolism （VTE） and analyze the risk factors after knee and hip arthroplasty. Methods A total of 300 knee and hip arthroplasty patients who had been treated in our hospital for the past two years between January 2016 and December 2017 were selected. The incidence of symptomatic VTE was recorded and the risk factors were analyzed. Results A total of 300 patients were found to had 26 cases of symptomatic VTE during hospitalization, accounting for 8.67%%. Logistic regression analysis showed that age ≥ 72 years, length of stay 〉 7 days, and history of cerebral infarction were risk factors. Conclusion To understand the risk factors of symptomatic VTE after knee and hip arthroplasty, it should be actively prevented and detected early. It has important clinical signifcance.