骨科大手术术后发生静脉血栓栓塞的影响因素分析

Analysis on influencing factors of occurrence of venous thromboembolism after major orthopedic surgery

目的探讨骨科大手术术后发生静脉血栓栓塞(VTE)的影响因素。方法选取2017年2月至2019年2月在我院进行骨科大手术的患者120例为研究对象,术后4个月内发生VTE患者53例,采用多因素logistic回归分析发生VTE的高危因素。结果多因素logistic回归分析显示,肥胖、高血压病、糖尿病、血栓史、纤维蛋白原(FIB)、同型半胱氨酸(Hcy)、手术时间、手术体位是影响骨科大手术术后患者发生VTE的独立危险因素(P<0.05)。结论骨科大手术术后发生VTE是由多种危险因素共同导致的,医护人员进行术后护理需要掌握患者基本情况,针对性实施预防措施,降低发生VTE的风险。

Objective To investigate the influencing factors of occurrence of venous thromboembolism(VTE)after major orthopedic surgery.Methods To select 120 cases of patients who underwent major orthopedic surgery in our hospital from February 2017 to February 2019 as the study subjects.We found that there were 53 cases of patients who were in occurrence of VTE within 4 months after operation.Multivariate logistic regression analysis was used to analyze the high-risk factors of VTE.Results Multivariate logistic regression analysis showed that the obesity,hypertension,diabetes,history of thrombosis,fibrinogen(FIB),homocysteine(Hcy),operation time,and surgical position were independent risk factors that affected occurrence of VTE after major orthopedic surgery(P<0.05).Conclusion The occurrence of VTE after major orthopedic surgery was caused by a variety of risk factors.Medical staff need to know the basic situation of the patient and implement targeted preventive measures to reduce the risk of VTE.