大面积烧伤并发静脉血栓的危险因素研究.docxVIP

大面积烧伤并发静脉血栓的危险因素研究 　　【摘要】目的：探讨大面积烧伤并发静脉血栓的危险因素及干预措施。方法：选择2018年4月-2019年6月本院收治的大面积烧伤患者104例为研究对象根据是否并发静脉血栓分为并发组和非并发组。查阅两组病例资料，记录两组性别、年龄、烧伤程度、烧伤总面积、致伤原因、致伤部位、创面感染、d-二聚体水平、伤后卧床时间、植皮手术、置管部位及静脉液体输入等资料，并对上述危险因素进行单因素及多因素logistic分析。结果：大面积烧伤并发静脉血栓的发生率为33.65%（35/104）。单因素及多因素logistic分析结果显示，年龄、烧伤程度、烧伤总面积、创面感染、d-二聚体水平、伤后卧床时间及静脉液体输入均是大面积烧伤并发静脉血栓的影响因素（p0.05）。结论：大面积烧伤并发静脉血栓发生率较高，危险因素亦相对较多，应根据危险因素制定有效的干预措施，降低静脉血栓发生率。 　　【關键词】大面积烧伤静脉血栓危险因素干预措施 　　studyonriskfactorsofextensiveburnscomplicatedwithvenousthrombosis/hexuexun，liying，yangchunbing，litianyin，tanglingfei.//medicalinnovationofchina，2020，17（09）：-129 　　[abstract]objective：toexploretheriskfactorsandinterventionmeasuresofmassiveburncomplicatedwithvenousthrombosis.method：atotalof104extensiveburnspatientsadmittedtoourhospitalfromapril2018tojune2019wereselectedastheresearchobjects.accordingtowhethertherewerevenousthrombosisornot，thepatientsweredividedintothecomplicatedgroupandthenoncomplicatedgroup.checkthedataofthetwogroups，gender，age，burndegree，totalburnarea，causeofinjury，siteofinjury，woundinfection，d-dimerlevel，post-injurybedtime，skingrafting，catheterizationsiteandvenousfluidinputofthetwogroupswererecorded，andunivariateandmultivariatelogisticanalysiswasperformedfortheaboveriskfactors.result：theincidenceoflargeburnswithvenousthrombosiswas33.65%（35/104）.age，burndegree，totalburnarea，woundinfection，d-dimerlevel，bedresttimeafterinjuryandintravenousfluidinputweretheinfluencingfactorsofextensiveburnpatientscomplicatedwithvenousthrombosis（p0.05）.conclusion：theincidenceofextensiveburnscomplicatedwithvenousthrombosisishighandtheriskfactorsarealsorelativelyhigh.effectiveinterventionmeasuresshouldbeformulatedaccordingtotheriskfactorstoreducetheincidenceofvenousthrombosis. 　　[keywords]extensiveburnsvenousthrombosisriskfactorsinterventionmeasures 　　first-author’saddress：people’shospitalofnorthernguangdongaffiliatedtoshantouuniversity，shaoguan512026，china 　　doi：10.3969/j.issn.1674-4985.2020.09.031 　　大面积烧伤是指≥50.0%体表面积的烧