摘要
目的探讨不同年龄和性别下肢深静脉血栓形成(LEDVT)患者危险因素的分布及聚集特点.方法回顾性分析2016年1月~2019年12月我院胸心血管外科162例确诊为LEDVT患者的临床资料,根据性别、年龄将患者分为男性组和女性组,青年组(年龄<45岁)和中老年组(年龄≥45岁),分析各组患者危险因素的分布和聚集情况,比较不同年龄组和性别之间的差异.结果①男性组与女性组的危险因素均主要以年龄≥45岁、高血压、外伤多见,各危险因素相比无性别差异(P>0.05);不同性别组的LEDVT患者存在危险因素的聚集现象,以年龄≥45岁、高血压聚集为主;②青年组的危险因素以外伤及手术、妊娠及产褥期为主,中老年组则主要是高血压、外伤及手术、糖尿病;不同年龄组也存在危险因素的聚集现象;③男性LEDVT患者中,青年组危险因素以外伤及手术多见,中老年组主要危险因素为高血压,与青年组相比有显著差异(P<0.05);女性LEDVT患者中,青年组的主要危险因素为妊娠及产褥期,与中老年组相比有明显差异(P<0.05);而中老年组中以高血压为主,与青年组相比具有显著差异(P<0.05).结论①不同性别间LEDVT患者的危险因素无明显差异,均以年龄≥45岁、高血压为主要危险因素;②妊娠及产褥期是青年女性LEDVT患者的主要危险因素;③高血压是中老年LEDVT患者的主要危险因素,应积极控制血压;④深静脉血栓形成常有危险因素的聚集情况,大多数LEDVT患者合并两种危险因素.
Objective To explore the distribution and aggregation characteristics of risk factors in LEDVT patients between different ages and genders.Methods The clinical data of 162 patients diagnosed with LEDVT in the department of thoracic and cardiovascular surgery of our hospital from Jan 2016 to Dec 2019 were retrospectively analyzed.According to gender and age,patients were divided into male group and female group,youth group(age less than 45),middle and old aged group(age 45 or above),analyzed the distribution and aggregation of risk factors of patients in each group,and compared the differences between different ages and genders.Results①The main risk factors in the male and female groups were age over 45,hypertension and trauma,but there was no gender difference in the risk factors(P>0.05).There were aggregations of risk factors in patients with LEDVT of different genders,mainly aged 45 or above and high blood pressure.②The risk factors of the youth group were mainly trauma and surgery,pregnancy and puerperium,the middle and old aged group were mainly hypertension,trauma,surgery and diabetes.There were also aggregations of risk factors in different ages.③Among male LEDVT patients,trauma and surgery were more common in the youth group,and the main risk factor in the middle and old aged group was hypertension,which was significantly different from the youth group(P<0.05).Among female LEDVT patients,the main risk factors of the youth group were pregnancy and puerperium,which were significantly different from the middle and old aged group(P<0.05),while the main risk factor in the middle and old aged group was predominantly hypertension,which was significantly different from the youth group(P<0.05).Conclusion①There are no significant differences in the risk factors of LEDVT patients between different genders,with age 45 or above and hypertension as the main risk factors.②Pregnancy and puerperium are the main risk factors for young women with LEDVT.③Hypertension is the main risk factor for middle and old aged patients with LEDVT,and blood pressure should be actively controlled.④Deep vein thrombosis often has a concentration of risk factors,and most patients with LEDVT have two types of risk factors.
作者
曾保尧
王斌强
左江伟
Zeng Baoyao;Wang Binqiang;Zuo Jiangwei(The Third Affiliated Hospital of Guangxi Medical University,Nanning 530199)
出处
《中国现代医药杂志》
2020年第8期12-18,共7页
Modern Medicine Journal of China
基金
广西壮族自治区卫生和计划生育委员会自筹经费科研课题(编号:Z20180588)。
关键词
深静脉血栓形成
危险因素
分布和聚集
Deep vein thrombosis
Risk factors
Distribution and aggregation
