刘倩;刘奎杰;王振奋;黄平;叶木林;姚宏亮;

• 1:中南大学湘雅二医院胃肠外科
• 2:海南省人民医院胃肠外二科

摘要(Abstract)：

目的分析胃肠外科手术患者术后下肢深静脉血栓形成(deep venous thrombosis,DVT)的危险因素,并探讨临床应对策略。方法回顾性分析海南省人民医院2017年3月至2019年3月收治的1495例胃肠外科手术患者的临床资料,统计患者术后下肢DVT发生情况,并将其分别纳入发生组和未发生组,采用单因素和多因素Logistic回归分析探讨影响胃肠外科手术患者术后下肢DVT的危险因素。结果 1495例胃肠外科手术患者中有278例发生下肢DVT,发生率为18.60%,其中以无症状肌间静脉血栓为主(97.84%),好发于左下肢(48.92%),发生时间集中于术后1 d内(73.74%)。多因素Logistic回归分析显示,年龄≥65岁、体质指数(body mass index,BMI)≥24 kg/m²、消化系统恶性疾病、术后长期卧床均是胃肠外科手术患者术后下肢DVT的独立危险因素(均P<0.05)。结论胃肠外科手术患者术后下肢DVT发生率较高,其危险因素包括年龄≥65岁、BMI≥24 kg/m2、消化系统恶性疾病、术后长期卧床均是胃肠外科手术患者术后下肢DVT的独立危险因素(均P<0.05)。结论胃肠外科手术患者术后下肢DVT发生率较高,其危险因素包括年龄≥65岁、BMI≥24 kg/m²、消化系统恶性疾病、术后长期卧床,临床医生应重视高危患者的识别及早期干预,以避免下肢DVT对患者生活质量造成不良影响。

关键词(KeyWords)： 胃肠外科;下肢;深静脉血栓形成;危险因素

Abstract:

Keywords:

基金项目(Foundation): 2018年海南省科学技术厅重点研发计划项目(158hn266)

作者(Authors): 刘倩;刘奎杰;王振奋;黄平;叶木林;姚宏亮;

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