本文選題：跟骨　切入點：骨折　出處：《中國組織工程研究》2017年03期 　論文類型：期刊論文

【摘要】：背景:跟骨骨折術(shù)前等待期發(fā)生深靜脈血栓影響骨折預(yù)后,因此,對其準(zhǔn)確診斷具有重要的臨床意義。目前,關(guān)于跟骨骨折術(shù)前等待期血栓分期研究罕見報道。目的:利用超聲彈性成像技術(shù),對血栓病例進(jìn)行分期診斷,探究跟骨骨折手術(shù)等待期患者深靜脈血栓的發(fā)生率及其危險因素。方法:自2008至2015年從青海大學(xué)附屬醫(yī)院跟骨骨折住院患者中招募符合標(biāo)準(zhǔn)的研究對象入組,于術(shù)前行彩色多普勒超聲檢查,診斷有血栓形成的患者再行超聲彈性成像分期診斷,統(tǒng)計血栓發(fā)生率,根據(jù)病歷記錄收集研究對象年齡、性別、體質(zhì)量指數(shù)、吸煙史等因素分布,利用多重Logistics回歸分析血栓形成與上述因素相關(guān)性。結(jié)果與結(jié)論:(1)最終招募149例跟骨骨折患者,共有22例患者出現(xiàn)下肢深靜脈血栓,發(fā)生率為14.8%,急性血栓的發(fā)生率為9.4%;(2)多重Logistic回歸結(jié)果提示,年齡(P=0.009,OR值=1.063,95%可信區(qū)間為1.010-1.117)、體質(zhì)量指數(shù)(P=0.019,OR值=1.302,95%可信區(qū)間為1.124-1.430)、吸煙史(P=0.017,OR值=5.124,95%可信區(qū)間為1.347-18.359)、手術(shù)等待期時間(P=0.000,OR值=5.190,95%可信區(qū)間為1.396-19.266)等因素為急性下肢深靜脈血栓的危險因素;(3)結(jié)果表明,跟骨骨折手術(shù)等待期患者下肢深靜脈血栓發(fā)生率較高,急性血栓占較大比例。需根據(jù)患者年齡、吸煙史、體質(zhì)量指數(shù)以及手術(shù)等待期時間等因素評估急性深靜脈血栓發(fā)生的危險,給予以相應(yīng)的診治方案。
[Abstract]:Background: the occurrence of deep venous thrombosis in the preoperative waiting period of calcaneal fracture affects the prognosis of the fracture. Therefore, it is of great clinical significance to accurately diagnose the fracture. At present, A rare report on the staging of thrombus before operation for calcaneal fracture was reported. Objective: to make staging diagnosis of thrombus in patients with calcaneal fracture by using the technique of ultrasonic elastic imaging. Objective: to investigate the incidence and risk factors of deep venous thrombosis in patients with calcaneal fracture in waiting period. Methods: from 2008 to 2015, subjects who met the criteria were recruited from patients with calcaneal fracture in Qinghai University affiliated Hospital. Color Doppler ultrasonography was performed before operation, and the patients with thrombus were re-diagnosed by ultrasonic elastic imaging stages, the incidence of thrombus was counted, and the age, sex, body mass index of the subjects were collected according to the records of medical records. Multiple Logistics regression analysis was used to analyze the relationship between thrombosis and the above factors. Results and conclusion: 149 patients with calcaneal fracture were recruited and 22 patients developed deep venous thrombosis of lower extremity. The incidence rate of 14. 8% and the incidence of acute thrombus were 9. 4% and 9. 4% respectively. The results of multiple Logistic regression showed that, The odds ratio (OR) was 1.010-1.117%, the BMI was 1.30295% (1.124-1.430), the OR value of smoking history was 5.124 ~ (95%) (1.347-18.359), the OR of waiting time was 5.19095% (1.396-19.266) and the other factors were the risk factors of acute thromboembolism of the lower extremity (P = 1.396-19.266), and the odds ratio (OR) was 1.347-18.359. the odds ratio (OR) was 1.396-19.266.The results showed that the risk factors of acute thromboembolism were as follows: (1) the risk factor of acute thrombus was 1.396-19.266 (P = 1.396-19.266), and the mean odds ratio (OR) was 1.347-18.359% (P = 1.347-18.359). The incidence of deep venous thrombosis of lower extremity in patients with calcaneal fracture in waiting period was higher than that in patients with acute thrombosis. Body mass index (BMI) and waiting time were used to evaluate the risk of acute deep venous thrombosis (DVT).
【作者單位】： 青海大學(xué)附屬醫(yī)院創(chuàng)傷骨科;
【分類號】：R687.3;R543.6

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本文編號：1621291