摘要
目的探讨妇科手术患者深静脉血栓形成的危险因素。方法选取我院2016年8月—2018年6月收治的妇科手术患者360例,按术后是否发生深静脉血栓(DVT)分为观察组和对照组,观察组35例,对照组325例。记录2组临床资料,并采用Logistic回归分析进行危险因素分析。结果年龄≥50岁、合并高血压、合并高血脂、凝血异常、手术时间≥1 h、卧床时间>5 d和恶性肿瘤是妇科手术后并发DVT的独立危险因素(P<0.05)。结论临床应针对危险因素对妇科手术患者进行有效预防和治疗,避免DVT发生,提高患者生活质量。
Objective To investigate risk factors of deep vein thrombosis (DVT) in patients undergoing gynecologic surgery. Methods A total of 360 patients undergoing gynecological surgery during August 2016 and June 2018 were divided into observation group ( n =35) and control group ( n =325) according to whether or not having postoperative DVT. Clinical data was recorded, and Logistic regression analysis was used to analyze risk factors. Results Equal or more than 50 years old, combined with hypertension, combined with hyperlipidemia, disorders of hemostasis, equal or more than 1h operative time, more than 5 d bedridden time and malignant tumors were independent risk factors of DVT in patients after gynecological surgery( P <0.05). Conclusion Risk factors of DVT should be effectively prevented and treated for patients undergoing gynecological surgery in order to avoid occurrence of DVT and improve quality of life.
作者
张燕
朱红江
杨志勇
刘琳
刘明阳
ZHANG Yan;ZHU Hong-jiang;YANG Zhi-yong;LIU Lin;LIU Ming-yang(Department of Rehabilitation, the First Hospital of Zhangjiakou, Zhangjiakou, Hebei 075000, China;Department of Cardiovascular Surgery, the First Hospital of Zhangjiakou, Zhangjiakou, Hebei 075000, China)
出处
《解放军医药杂志》
CAS
2019年第5期90-92,共3页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
基金
河北省科卫生和计划生育委员会科研基金课题(20191718)
关键词
深静脉血栓形成
妇科外科手术
危险因素
Deep vein thrombosis
Gynecologic surgery procedures
Risk factors
