摘要
目的:探讨股骨颈骨折(FNF)术后深静脉血栓(DVT)形成的危险因素。方法:回顾性分析2019年1月-2021年7月在抚州市第一人民医院行手术治疗的98例FNF患者临床资料,分析FNF术后DVT形成的危险因素。结果:FNF术后DVT发生率为30.61%(30/98);单因素分析显示,DVT组与非DVT组在手术时间、糖尿病、吸烟史、高脂血症、麻醉方式方面比较,差异均有统计学意义(P<0.05)。多因素分析显示,手术时间≥60 min[OR=2.927,95%CI(1.206,7.103)]、吸烟史[OR=3.136,95%CI(1.288,7.636)]、糖尿病[OR=9.333,95%CI(3.495,24.926)]、高脂血症[OR=5.075,95%CI(1.900,13.533)]、静吸复合麻醉[OR=2.947,95%CI(1.208,7.189)]是FNF术后DVT形成的危险因素(P<0.05)。结论:FNF术后DVT形成与手术时间、吸烟史、糖尿病、高脂血症、麻醉方式有关。
Objective:To investigate the risk factors of deep venous thrombosis(DVT)after operation of femoral neck fracture(FNF).Method:The clinical data of 98 patients with FNF who underwent surgery in the First People’s Hospital of Fuzhou from January 2019 to July 2021 were retrospectively analyzed,and the risk factors of DVT formation after operation of FNF were analyzed.Result:The incidence of DVT after operation of FNF was 30.61%(30/98);univariate analysis showed that there were significant differences in operation time,diabetes,smoking history,hyperlipidemia and anesthesia mode between the DVT group and the non DVT group(P<0.05).Multivariate analysis showed that operation time≥60 min[OR=2.927,95%CI(1.206,7.103)],smoking history[OR=3.136,95%CI(1.288,7.636)],diabetes[OR=9.333,95%CI(3.495,24.926)],hyperlipidemia[OR=5.075,95%CI(1.900,13.533)],intravenous inhalation combined anesthesia[OR=2.947,95%CI(1.208,7.189)]were the risk factors of DVT after operation of FNF(P<0.05).Conclusion:DVT formation after operation of FNF is related to operation time,smoking history,diabetes,hyperlipidemia and anesthesia mode.
作者
黄淼
HUANG Miao(The First People’s Hospital of Fuzhou,Jiangxi Province,Fuzhou 344000,China)
出处
《中国医学创新》
CAS
2022年第20期80-83,共4页
Medical Innovation of China
关键词
股骨颈骨折
深静脉血栓
糖尿病
高脂血症
Femoral neck fracture
Deep venous thrombosis
Diabetes
Hyperlipidemia
