摘要
目的了解患者静脉血栓栓塞症(venous thromboembolism,VTE)的发生情况并分析其危险因素,为减少住院患者发生VTE提供参考与依据。方法选取作者医院康复科2018-11-01/2019-10-31入院的614名患者为研究对象,其中65例发生VTE的患者设为VTE组,未发生VTE的549例患者设为非VTE组。采用Logistic回归分析发生VTE的危险因素。结果VTE组有既往VTE史、卧床≥72 h、有已知的易栓症、近期(≤1个月)有创伤或外科手术、有心脏和(或)呼吸衰竭、有急性感染和(或)风湿性疾病,D-二聚体(D-dimer,DD)≥500μg/L、机械预防、药物预防、机械联合药物预防比例高,年龄大、住院时间长,且Padua评分、日常生活活动(activity of daily living,ADL)评分明显高于非VTE组,组间比较差异具有统计学意义(P<0.05)。Logistic回归分析发现:既往VTE病史是康复科住院患者发生VTE的最高风险因素,其次为心力衰竭和(或)呼吸衰竭与卧床≥72 h,而机械联合药物预防是患者发生VTE的保护因素。结论应根据患者的个人情况对其进行动态的评估,早期进行预防,及时有效地调整VTE形成的预防方案,预防VTE的发生。
Objective To understand the occurrence of venous thromboembolism(VTE)in inpatients and analyze its risk factors,so as to provide scientific reference and basis for reducing the occurrence of VTE in inpatients.Methods A total of 614 inpatients of rehabilitation department in author′s hospital from November 2018 to October 2019 were selected as the research objects,including 65 cases of VTE as VTE group,and 549 cases without VTE as non-VTE group.Risk factors for VTE were analyzed by Logistic regression.Results In the VTE group,patients had a history of VTE,bed rest≥72 h,known embolism,recent trauma or surgery(≤1 month),cardiac and/or respiratory failure,acute infection and/or rheumatic diseases,D-dimer(DD)≥500μg/L,mechanical prophylaxis,drug prophylaxis,mechanical combined drug prophylaxis,older age and longer hospital stay,the Padua score and activity of daily living(ADL)score of VTE group were significantly higher than those of non-VTE group(P<0.05).Logistic regression analysis showed that the history of VTE was the highest risk factor of VTE in rehabilitation department,followed by heart failure and/or respiratory failure and bed rest≥72 h,while mechanical combined drug prophylaxis was the protective factor of VTE.Conclusion Dynamic evaluation should be carried out according to the individual situation of patients,early prevention,timely and effective adjustment of the prevention scheme of VTE should be taken,so as to prevent the incidence of VTE.
作者
陈宇
李晓敏
常进红
王树琼
CHEN Yu;LI Xiaomin;CHANG Jinhong;WANG Shuqiong(Department of Rehabilitation Physiotherapy,SpecialtyMedical Center of People′s Liberation Army,Chongqing 400020,China)
出处
《华南国防医学杂志》
CAS
2021年第12期885-888,共4页
Military Medical Journal of South China
关键词
静脉血栓栓塞症
风险因素
调查
康复
住院患者
Venous thromboembolism
Risk factor
Investigation
Recovery
Inpatient
