导致骨科手术患者术后发生下肢深静脉血栓的危险因素

Risk factors for deep venous thrombosis after operation in the department of orthopedics patients

目的:探讨骨科手术患者术后发生下肢深静脉血栓的危险因素。方法:收治骨科手术患者400例,统计患者术后7 d下肢深静脉血栓发生状况。结果:患者术后7 d下肢深静脉血栓发生率8.5%。发生组患者中年龄≥60岁、合并慢性病、多发骨折、手术时间≥2 h、全麻手术、关节置换术、术后下地时间>5 d发生率等危险因素较未发生组骨科手术患者明显升高(P<0.05)。结论:骨科手术患者术后发生下肢深静脉血栓的危险因素较多,包括年龄≥60岁、合并慢性病、多发骨折、手术时间≥2 h、全麻手术、关节置换术、术后下地时间>5 d。

Objective：To investigate the risk factors of deep venous thrombosis after operation in the department of orthopedics.Methods：400 cases of operation in the department of orthopedics were selected,and the incidence of deep venous thrombosis at 7 days after operation was statistically analyzed.Results：The incidence of deep venous thrombosis of lower extremities was 8.5% at 7 days after operation.The incidence of 60 years old,chronic disease,multiple fracture,operation time more than 2 hours,general anesthesia,joint replacement,and down to ground time more than 5 days in the occurrence group were significantly higher than those in the non occurring group（P〈0.05）.Conclusion：There are many risk factors for deep venous thrombosis of lower extremity after surgery in the department of orthopedics,including age 60 years old,chronic disease,multiple fracture,operation time more than 2 hours,general anesthesia,joint replacement,and postoperative lower ground time more than 5 days.