全髋关节置换术后深静脉血栓形成的危险因素分析

全髋关节置换术后深静脉血栓形成的危险因素分析

刘军;沈飞;黄际河

【期刊名称】《昆明医科大学学报》 【年(卷),期】2012(033)007

【摘要】ObjectiVG To improve the cognition in clinical characteristics of deep venous thrombosis (DVT) after total hip replacement, and explore the related risk factors. Methods A prospective analysis of clinical cases in 145 patients (including 51 male and 94 femal patients) of hip replacement treated in our hospital from January 2010 to February 2012 was conducted to analyze the risk factors related to the formation of DVT. All patients were given color Doppler echocardiography examination to find the formation of DVT before and 7 days after total hip replacement. We recorded the age, gender, BMI, blood type, smoking or not, drinking or not, aneasthesia methods, bleeding volume during operation, transfusion volume, using bone cement or not, operative

approach,

unilateral

or

bilateral

hip

replacement,

postoperative analgesia methods, preoperative diagnosis, complications such as diabetes or hypertension, and also recorded the location, type and clinical symptoms of DVT. According to BMI, patients were divided into two groups: normal group (BMI ≤25 kg/m2) and obesity group (BMI>25 kg/m2). The incidence of DVT was used as the dependent variable, and the suspected risk factors were used as independent