不同类型老年康复患者下肢深静脉血栓形成的临床特点

Clinical Characteristics of Lower Extremity Deep Vein Thrombosis of Elderly Patients with Different Rehabilitation Types

目的:分析不同类型老年康复患者下肢深静脉血栓形成的临床特点。方法:选取2016年1月-2020年12月北京市第二医院康复科出院病例中以下肢深静脉血栓形成(DVT)为诊断的患者91例,根据康复类型,分为神经康复组和骨科康复组,收集患者的基本资料、下肢DVT累及侧别、周围型DVT累及静脉分布并进行统计学分析。结果:神经康复组和骨科康复组患者在年龄、性别和下肢DVT临床分型比较,差异均无统计学意义(P>0.05);两种康复类型均以≥75岁、女性、周围型DVT多见。单侧活动受限患者69例,健侧伴DVT患者共33例(47.8%),在两组患者中百分比比较,差异无统计学意义(P>0.05)。周围型DVT患者77例,累及肌间静脉59例(76.6%),其次为胫后静脉15例(19.5%),两组累及肌间静脉百分比比较,差异无统计学意义(P>0.05)。结论:老年康复下肢DVT患者中,神经康复和骨科康复均以≥75岁、女性、周围型DVT更常见,而周围型患者中累及肌间静脉为主。在单侧活动受限患者中,健侧伴DVT并不少见,希望引起临床重视。

Objective: To analyze the clinical characteristics of lower extremity deep vein thrombosis in elderly patients withdifferent rehabilitation types. Methods: A total of 91 patients who were diagnosed with deep venous thrombosis(DVT) of lowerextremities and discharged from the Rehabilitation Department of the Second Hospital of Beijing from January 2016 to December2020 were selected. According to the rehabilitation type, they were divided into neurological rehabilitation group and orthopedicrehabilitation group. The basic data, the laterality of DVT involved in lower extremities and the venous distribution involved inperipheral DVT were collected and analyzed statistically. Results: There were no statistically significant differences in age, genderand clinical typing of DVT in lower extremities between the neurological rehabilitation group and the orthopedic rehabilitationgroup(P>0.05), and two types of rehabilitation were more common in ≥75 years old, female and peripheral DVT. In 69 patientswith unilateral movement limitation, there were 33 patients with DVT on the healthy side. There was no statistically significantdifference in the percentage between the two groups(P>0.05). In 77 patients with peripheral DVT, 59 cases(76.6%) were involvedin the intermuscular vein, followed by 15 cases(19.5%) in the posterior tibial vein, and there was no statistically significantdifference in the percentage of intermuscular vein involvement between the two groups(P>0.05). Conclusion: In elderly patients ofrehabilitation with lower extremity DVT, ≥75 years old, female and peripheral DVT are more common in both neurologicalrehabilitation and orthopedic rehabilitation. In the peripheral type patients, the intermuscular vein is mainly involved. In patientswith unilateral movement limitation, DVT on the healthy side is not uncommon, which is expected to attract clinical attention.