本文選題：靜脈血栓形成　切入點(diǎn)：下肢　出處：《中國全科醫(yī)學(xué)》2017年02期 　論文類型：期刊論文

【摘要】：目的探討不同患肢、年齡的繼發(fā)性下肢深靜脈血栓(DVT)患者誘發(fā)因素的差異,為下肢DVT的預(yù)防、診斷和治療提供參考。方法選取2011年1月—2014年6月南昌大學(xué)第二附屬醫(yī)院血管外科收治的783例下肢DVT患者為研究對象,記錄患者臨床資料,包括性別、年齡、下肢DVT分型、患肢,以及可能的誘發(fā)因素,包括近期手術(shù)史、創(chuàng)傷骨折、制動/癱瘓、惡性腫瘤、血管內(nèi)操作,女性患者子宮切除、口服避孕藥、妊娠/產(chǎn)褥期等。結(jié)果右下肢DVT患者158例(20.2%),左下肢582例(74.3%),雙下肢43例(5.5%)。不同患肢的下肢DVT患者性別、下肢DVT分型比較,差異有統(tǒng)計學(xué)意義(P0.05)。男性、女性右下肢繼發(fā)性DVT患者創(chuàng)傷骨折比例低于左下肢,惡性腫瘤比例高于左下肢(P0.05)。下肢DVT患者中青年(≤39歲)151例(19.3%),中年(40~64歲)424例(54.1%),老年(≥65歲)208例(26.6%)。不同年齡患者性別、下肢DVT分型比較,差異均有統(tǒng)計學(xué)意義(P0.05)。青年男性繼發(fā)性肢DVT患者誘發(fā)因素主要為創(chuàng)傷骨折(39.1%)、近期手術(shù)(26.1%)、血管內(nèi)操作(26.1%),中年、老年男性繼發(fā)性下肢DVT患者誘發(fā)因素主要為近期手術(shù)(50.9%、45.2%)、創(chuàng)傷骨折(38.6%、35.7%)。青年女性繼發(fā)性下肢DVT患者誘發(fā)因素主要為妊娠/產(chǎn)褥期(85.7%),中年女性繼發(fā)性下肢DVT患者誘發(fā)因素主要為近期手術(shù)(57.7%),老年女性繼發(fā)性下肢DVT患者誘發(fā)因素主要為創(chuàng)傷骨折(47.9%)和近期手術(shù)(43.8%)。結(jié)論右下肢繼發(fā)性DVT患者創(chuàng)傷骨折比例低于左下肢,惡性腫瘤比例高于左下肢。青年男性繼發(fā)性下肢DVT患者誘發(fā)因素主要為創(chuàng)傷骨折、近期手術(shù)、血管內(nèi)操作,中年、老年男性繼發(fā)性下肢DVT患者誘發(fā)因素主要為近期手術(shù)、創(chuàng)傷骨折。青年女性繼發(fā)性下肢DVT患者誘發(fā)因素主要為妊娠/產(chǎn)褥期,中年女性繼發(fā)性下肢DVT患者誘發(fā)因素主要為近期手術(shù),老年女性繼發(fā)性下肢DVT患者誘發(fā)因素主要為創(chuàng)傷骨折和近期手術(shù)。
[Abstract]:Objective to explore the difference of inducing factors in patients with secondary DVT of lower extremity and age, so as to prevent DVT of lower extremity. Methods from January 2011 to June 2014, 783 patients with lower extremity DVT treated in vascular surgery department of the second affiliated Hospital of Nanchang University were selected as study subjects. The clinical data of the patients were recorded, including sex, age, lower extremity DVT typing. Affected limbs, and possible predisposing factors, including recent surgical history, traumatic fractures, immobilization / paralysis, malignant neoplasms, intravascular procedures, hysterectomy in female patients, oral contraceptives, Results there were 158 cases with DVT in right lower limb, 582 cases with left lower extremity and 74.3%, 43 cases with lower extremity with lower extremity DVT. The sex of lower extremity DVT patients with different affected limbs, lower extremity DVT classification, the difference was statistically significant (P 0.05). The rate of traumatic fracture in female patients with secondary DVT of right lower extremity is lower than that of left lower extremity, and the proportion of malignant tumor is higher than that of left lower extremity P0.05.The young and young patients with lower extremity DVT (鈮，

本文編號：1616002