胫骨平台骨折与腓骨骨折患者下肢深静脉血栓形成影响因素及护理措施分析

Analysis of Influencing Factors and Nursing Measures of Lower Extremity Deep Vein Thrombosis of Patients with Tibial Plateau Fracture and Fibula Fracture

目的研究并分析胫骨平台骨折与腓骨骨折患者下肢深静脉血栓形成因素及护理措施。方法采用回顾分析法,选取2016年10月至2018年10月于我院接受治疗的60例腓骨骨折患者与60例胫骨平台骨折为本次研究对象,对比两组间患者年龄以及治疗前与治疗后下肢深脉血栓发生部位和下肢深静脉血栓发生率。结果胫骨平台骨折患者治疗前深静脉血栓发生率45%,明显高于治疗后深静脉血栓发生率13.33%;腓骨骨折患者治疗前深静脉血栓发生率25%,明显高于治疗后深静脉血栓发生率3.33%;两组患者中发生深静脉血栓年龄>40岁患者36例,明显高于年龄≤40岁患者16例,差异具有统计学意义(P<0.05)。结论腓骨骨折患者与胫骨平台骨折患者发生下肢深静脉血栓发生率均与年龄、肢体制动与损伤部位有关,且发生深静脉血栓概率较高。

Objective to study and analyze forming factors and nursing measures of lower extremity deep vein thrombosis of tibial plateau and fibula fracture patients.Methods review and analyze 60 cases fibular fracture patients and 60 cases tibial plateau fracture patients with treated in our hospital from October 2016 to October 2018 as study objects.Compare age of patients between two groups,location of deep vein thrombosis and incidence of deep vein thrombosis before and after treatment.Results DVT incidence of patients with tibial plateau fracture before treatment was 45%,significantly higher than 13.33%after treatment;DVT incidence in patients with fibula fracture before treatment was 25%,significantly higher than 3.33%after treatment;age of DVT in two groups was more than 40(36 cases),significantly higher than patients aged≤40(16 cases),difference showed statistical significance(P<0.05).Conclusion DVT incidence of patients with fibular fracture and tibial plateau fracture is related to age,limb immobilization and injury location,with high incidence of DVT.