溃疡性结肠炎合并下肢深静脉血栓形成72临床分析

Clinical Analysis of the Formation of Deep Vein Thrombosis in the Lower Extremities with Ulcerative Colitis

目的分析溃疡性结肠炎合并下肢深静脉血栓形成(DVT)的临床特征及干预。方法选择2018年1-8月在该院治疗的72例UC合并DVT患者,对这批患者的血栓发生部位及首诊发生时间进行统计,并按数字表法随机分为两组各36例,对照组给予常规治疗,观察组采取综合治疗措施,对比两组并发症发生情况。结果在血栓分布方面,72例患者中有30例(41.67%)位于左下肢,24例(33.33%)位于双下肢,18例(25.00%)位于右下肢,有46例(63.89%)首诊血栓发生时间在6 h内。两组患者采取相应的治疗措施后,观察组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论 UC合并DVT容易在短期内发生,而且以左下肢和双下肢最为常见,临床需积极诊断加强治疗,避免发生严重并发症。

Objective To analyze the clinical features and intervention of ulcerative colitis combined with deep venous thrombosis(DVT). Methods 72 patients with UC combined with DVT, who were treated in our hospital from January to August 2018, were randomly divided into two groups according to the digital table method, and the control group was given routine treatment. The observation group adopted comprehensive treatment measures to compare the occurrence of two groups of complications. Results Of the 72 patients,30 of the 72 patients(41.67%) were in the left lower limb and 24(33.33%). located in the lower extremities, 18 cases(25.00%) were located in the right lower extremities, 46 cases(63.89%) were diagnosed as thrombus within 6 hours. After the corresponding treatment measures were taken, the incidence of complications in the observation group was significantly lower than that in the control group(P<0.05). Conclusion UC complicated with DVT is easy to occur in a short period of time, and the left lower extremity and bilateral lower extremity are the most common. It is necessary to actively diagnose and strengthen the treatment to avoid serious complications.