上肢骨折患者深静脉血栓形成的危险因素分析

Study on risk factors of deep venous thrombosis in patients with upper limb fracture

目的:分析探讨上肢骨折患者发生深静脉血栓形成的危险因素。方法:回顾性分析833例上肢骨折住院患者的临床资料,按照是否有静脉血栓形成,将其分为血栓组(n=82)和非血栓组(n=751),对上肢骨折患者深静脉血栓形成的危险因素进行分析。结果:833例上肢骨折患者DVT发生率为9.84%。二元Logistic多因素回归分析显示,性别、年龄、BMI、肱骨骨折是上肢骨折患者深静脉血栓形成的危险因素,术前等待时间、术中输血、麻醉方式是患者术后深静脉血栓形成的独立危险因素(P<0.05)。结论:通过对上肢骨折患者深静脉血栓形成的危险因素进行分析,明确上肢骨折患者发生DVT的危险因素,及时评估高危人群,进行有效护理和干预,有效预防和减少DVT的发生。

Objective:To analyze the risk factors of deep venous thrombosis(DVT)in patients with upper limb fracture.Methods:The clinical data of 833 hospitalized patients with upper limb fracture were retrospectively analyzed.According to whether there was venous thrombosis,they were divided into thrombosis group(n=82)and non-thrombosis group(n=751).Results:The incidence of DVT was 9.84%.Logistic multivariate analysis showed that gender,age,BMI and humeral fracture were risk factors of DVT in patients with upper limb fracture,and the independent risk factors of postoperative DVT were preoperative waiting time,intraoperative blood transfusion,anesthesia mode(P<0.05).Conclusion:The medical staffs should understand the risk factors of DVT in patients with upper limb fracture,evaluate the high-risk groups in time,carry out effective nursing and intervention to prevent and reduce the occurrence of DVT.