颅脑损伤患者深静脉血栓形成的危险因素分析及预防措施
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摘要
目的探讨颅脑损伤患者深静脉血栓形成(DVT)的危险因素及预防措施。方法选取2016年1月～2018年1月我院收治的90例颅脑损伤合并DVT的患者,对患者的年龄、性别和卧床时间等进行相关因素进行分析。结果单因素分析结果显示,合并高龄高血压、合并高龄糖尿病、肢体瘫痪和长期卧床患者DVT发生率较高,差异存在统计学意义(P<0.05)。多因素分析结果显示,年龄、血压、血糖、肢体活动度和卧床时间等是DVT发生的危险因素,差异存在统计学意义(P<0.05)。结论颅脑损伤患者DVT与年龄、血压、血糖、肢体活动度和卧床时间等存在相关性,性别对患者发病率影响较小。并且患者卧床时间越长,深静脉血栓形成率越高,对患者生活影响越严重。
Objective To investigate the risk factors and preventive measures of deep vein thrombosis(DVT)in patients with craniocerebral injury.Methods 90 cases craniocerebral injury patients with DVT admitted to our hospital from January 2016 to January 2018 were selected and analyzed for their age,gender,bed time and other related factors.Results Univariate analysis showed that the incidence of DVT was higher in patients with advanced hypertension,diabetes mellitus,limb paralysis and long-term bed rest,and the difference was statistically significant(P<0.05).Multivariate analysis showed that age,blood pressure,blood glucose,physical activity and bed time were risk factors for DVT,with statistically significant differences(P<0.05).Conclusion DVT in patients with craniocerebral injury is correlated with age,blood pressure,blood glucose,physical activity and bed time,and gender has little influence on the incidence of patients.In addition,the longer patients stay in bed,the higher the rate of DVT and the more serious the impact on patients' life.
Objective To investigate the risk factors and preventive measures of deep vein thrombosis(DVT)in patients with craniocerebral injury.Methods 90 cases craniocerebral injury patients with DVT admitted to our hospital from January 2016 to January 2018 were selected and analyzed for their age,gender,bed time and other related factors.Results Univariate analysis showed that the incidence of DVT was higher in patients with advanced hypertension,diabetes mellitus,limb paralysis and long-term bed rest,and the difference was statistically significant(P<0.05).Multivariate analysis showed that age,blood pressure,blood glucose,physical activity and bed time were risk factors for DVT,with statistically significant differences(P<0.05).Conclusion DVT in patients with craniocerebral injury is correlated with age,blood pressure,blood glucose,physical activity and bed time,and gender has little influence on the incidence of patients.In addition,the longer patients stay in bed,the higher the rate of DVT and the more serious the impact on patients' life.
引文
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[2] 易伟林,梁斌,丘德赞,等.脊椎融合术后下肢深静脉血栓形成的危险因素分析[J].中国矫形外科杂志,2018,4(1):22-26.
[3] 林旺,张栋,王盈盈,等.髋部以下创伤患者术前下肢深静脉血栓形成的影响因素分析[J].山东医药,2017,57(32):53-55.
[4] 夏海,杨瑜瑜,孙英华,等.踝关节骨折术后深静脉血栓形成发病率调查及影响因素分析[J].广东医学,2017,38(18):2830-2832.
[5] 王春满,崔朝勃,王金荣.创伤性颅脑损伤后静脉血栓栓塞药物预防的研究进展[J].中华神经外科杂志,2016,32(11):1178-1181.
[6] 仲伟喜,朱晓光,杨开超,等.严重创伤患者中急性创伤性凝血病与深静脉血栓形成关系探讨[J].中华急诊医学杂志,2016,25(5):592-597.
[7] 李文东,李晓强,杜晓龙,等.下肢深静脉血栓形成合并髂静脉狭窄的患者发生肺栓塞的危险因素分析[J].中华普通外科杂志,2016,31(9):761-764.