神经外科术后下肢深静脉血栓形成临床分析

Clinical Analysis of Lower Extremity Deep Venous Thrombosis after Operation in Department of Neurosurgery

目的探讨神经外科术后下肢深静脉血栓形成的症状表现、临床诊断及治疗方法,并分析其危险因素。方法选取该院2016年9月—2018年9月收治的40例神经外科术后下肢深静脉血栓形成患者设为研究组,另选取同期40例神经外科术后未出现下肢深静脉血栓形成患者设为对照组,采用问卷调查方式了解两组的一般资料、症状表现、合并症及治疗情况,分析下肢深静脉血栓形成的危险因素。结果对比两组患者的年龄、合并高血压、术后偏瘫、长期卧床,差异有统计学意义(P<0.05);多因素Logistic回归分析结果显示,年龄、合并高血压、术后偏瘫、长期卧床均为神经外科术后下肢深静脉血栓形成的危险因素。结论神经外科术后下肢深静脉血栓形成的发生率较高,应全面分析其危险因素,及早诊断并积极治疗,以降低其发生率。

Objective To investigate the symptoms, clinical diagnosis and treatment of deep venous thrombosis(DVT) of lower extremity after neurosurgery, and to analyze its risk factors. Methods From September 2016 to Septemper 2018,40 patients with deep venous thrombosis after neurosurgery were selected as the study group and 40 patients without deep venous thrombosis after neurosurgery were selected as the control group. Risk factors for deep vein thrombosis. Results There were significant differences in age, hypertension, postoperative hemiplegia and long-term bed rest between the two groups(P< 0.05). Multivariate logistic regression analysis showed that age, hypertension, postoperative hemiplegia and long-term bed rest were risk factors for deep vein thrombosis of lower extremity after neurosurgery. Conclusion The incidence of deep venous thrombosis of lower extremity after neurosurgery is high. The risk factors of deep venous thrombosis of lower extremity should be analyzed comprehensively, early diagnosis and active treatment should be made to reduce the incidence.