膝关节镜手术术后静脉血栓形成危险因素分析

发布时间：2018-02-11 08:54

本文关键词： 膝关节镜静脉血栓危险因素病例对照　出处：《中国内镜杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的分析膝关节镜术后静脉血栓形成的危险因素。方法回顾性分析该院2012年1月-2016年3月符合纳入和排除标准的膝关节镜术后形成静脉血栓的患者29例,以术者、手术时间为匹配条件,按照1∶2配比,选取对照病例58例,对年龄、性别、体质指数(BMI)、吸烟与否、血脂是否异常、手术类型、止血带应用时间、麻醉方式、手术时间及Caprini评分进行评估,分析膝关节手术术后静脉血栓形成的危险因素。结果共有29名患者术后并发静脉血栓(均为肌间静脉血栓),总体静脉血栓发生率为1.17%,经过单因素分析、非条件Logistic回归分析发现:年龄的OR=1.09,95%CI(1.03,1.16)。Caprini评分的OR=2.97,95%CI(1.39,6.32)。结论该研究表明膝关节镜手术术后静脉血栓形成发生率不高,年龄增长及Caprini评分增大是血栓形成的危险因素,鉴于静脉血栓的严重后果,应重视关节镜手术围手术期静脉血栓的预防,但预防措施要个体化,以免抗凝药物滥用。
[Abstract]:Objective to analyze the risk factors of venous thrombosis after knee arthroscopy. Methods 29 patients with venous thrombosis after knee arthroscopy from January 2012 to March 2016 were analyzed retrospectively. According to the 1: 2 ratio, 58 control cases were selected. Age, sex, body mass index (BMI), smoking or not, abnormal blood lipid, type of operation, tourniquet application time, anaesthesia, etc. The time of operation and Caprini score were evaluated. Results there were 29 patients with venous thrombosis after knee surgery (all of them were intramuscular venous thrombosis, the overall incidence of venous thrombosis was 1.17). Non-conditional Logistic regression analysis showed that the OR1. 09 ~ 95 CI of age was 1.03 / 1.16. Caprini's score was 2.97 / 95 / 1.39 / 6.32. Conclusion this study shows that the incidence of venous thrombosis is not high, the increase of age and the increase of Caprini score are the risk factors of thrombosis after knee arthroscopy. In view of the serious consequences of venous thrombosis, attention should be paid to the prevention of venous thrombosis during arthroscopic operation, but the preventive measures should be individualized to avoid the abuse of anticoagulants.
【作者单位】：滨州医学院附属医院骨关节外科;
【分类号】：R687.4

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