骨科创伤患者术后下肢深静脉血栓因素与临床治疗.docVIP

骨科创伤患者术后下肢深静脉血栓因素与临床治疗 　　[摘要] 目的 探讨骨科创伤患者术后形成下肢深静脉血栓（DTV）的影响因素及临床治疗。 方法 选取云南省第二人民医院急创伤中心2010年3月～2013年3月收治的下肢骨折创伤患者50例，术后发生DTV者25例为DVT组；术后未发生DVT者25例为对照组。记录所有患者的自身病因及手术相关因素以比较这些因素对DVT形成的影响。比较DTV组采用机械辅助药物治疗与综合手术治疗的效果。 结果 ①DTV组患者中有高血压、糖尿病、血栓史的比例明显高于对照组，差异有统计学意义（P 0.05）。②DTV组患者手术时间[（3.98±0.28）min]及制动时间[（8.21±1.36）min]明显长于对照组[（2.34±0.35）、（4.67±0.89）min]，差异有统计学意义（P 　　[关键词] 骨科；深静脉血栓；因素；临床治疗 　　[中图分类号] R654.4 [文献标识码] A [文章编号] 1673-7210（2014）04（a）-0025-03 　　Factors analysis and clinical treatment of the patients after surgery with deep venous thrombosis 　　YA Jun1 MA Zhijian1 LIAO Peng1 GE Chunqin2 　　1.Department of Trauma Care Center， the Second Peoples Hospital of Yunnan Province， Kunming 650031， China； 2.The Second Clinical Medical College of Zhejiang University of TCM， Zhejiang Province， Hangzhou 310053， China 　　[Abstract] Objective To evaluate factors and clinical treatment of the patients after surgery with deep venous thrombosis （DVT）. Methods 50 patients with lower limb fractures trauma after surgery in Trauma Care Center of the Second Peoples Hospital of Yunnan Province from March 2010 to March 2013 were selected. 25 cases with DTV were distributed into DTV group， 25 cases without DVT were chosen as control group. The past medical history and surgery related factors were recorded to analyze the factors of the patients after surgery with DVT. The clinical effects of machinery-drug treatment or comprehensive surgical treatment in DTV group were observed and compared. Results ①The ratio of high blood pressure， diabetes mellitus， thrombus history itself in DTV group were all higher than those in control group， the differences were statistically significant （P 0.05）. ②The operation time， braking time in DTV group [（3.98±0.28）， （8.21±1.36） min] were all longer than those in control group [（2.34±0.35）， （4.67±0.89） min]， the differences were statistically significant （P 　　[Key words] Orthopedics department； Deep vein thrombosis； Factors； Clinical therapy 　　深静脉血栓（DVT）的形成是指